Santa Ana Medical Care Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SANTA ANA MEDICAL CARE CENTER INC

Practice address

3750 W 16TH Ave Ste 104
Hialeah, FL 33012-4645

Phone

(305) 200-5648

Fax

(305) 602-0646

NPI assigned

Sep 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deyvis S Fernandez

Title

President

Phone

(305) 200-5648

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minsu De la Caridad Blanca, PT

  • Physical Therapist
  • Miami, FL
  • NPI 1184895914
  Medicare reassignment Care Compare group NPD
• Tajudeen Olaposi Basiru, MD

  • Psychiatry Physician
  • Cutler Bay, FL
  • NPI 1043951577
  Medicare reassignment Care Compare group
• Pablo Ramon Cabrera Rodriguez, NP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1558141788
  Medicare reassignment Care Compare group
• William Mazzei III, M.D.

  • Family Medicine Physician
  • Deerfield Beach, FL
  • NPI 1972586501
  Medicare reassignment NPD
• Olga Maria Vizcaino, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, WA
  • NPI 1326728809

  FL

  Medicare reassignment NPD
• David Hernandez

  • Occupational Therapist
  • Hialeah, FL
  • NPI 1033864939
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1386314599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124645",
            "telephone_number": "305-200-5648",
            "fax_number": "305-602-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124645",
            "telephone_number": "305-200-5648",
            "fax_number": "305-602-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA MEDICAL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DEYVIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-200-5648"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122282700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanitas Hialeah Idtc
• Marcos Mario Sanoja Sr., DMD
• Marie Sanon Lamarre
• Mazen Sanoufa, MD
• Santa Ana Behavior Institute (Santa Ana Behavior Institute, LLC)
• Santa Ana Medical Research Inc
• Santa Clara Diagnostic Center Inc
• Briseida Santa Cruz Pacheco Me
• Santa Fe Medical Supplies, Inc
• Odalis Julia Santa, LMHC, RN

• Multi-Specialty Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.