Individual provider Active NPI

Suleidys Miranda Santana, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1386963619
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114526 Issued in FL
Practice address
8785 SW 165TH Ave Ste 105
Miami, FL 33193-5827
Phone
(305) 614-1529
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME114526 FL Primary

Addresses

Primary practice location

8785 SW 165TH Ave Ste 105
Miami, FL 33193-5827

Mailing address

8240 SW 164TH CT
Miami, FL 33193-5752
Phone (786) 253-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604001420 FL Practitioner - Internal Medicine 0547484941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Primary Care Physicians of Miami, IncGroup PAC ID 0446636419, 2 clinicians

Practice addresses (Care Compare)

8785 SW 165TH Ave
Suite 105
Miami, FL 33193-5827
Phone (305) 614-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physicians of Miami, Inc Internal Medicine CurrentSince Oct 5, 2021 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

3233 Palm Ave
Hialeah, FL 33012
Phone (305) 642-0590

8608 SW 40th St
Miami, FL 33155
Phone (305) 551-3200

8785 SW 165th Ave
Ste 105
Miami, FL 33193
Phone (305) 614-1529

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

10401 SW 40th St
Miami, FL 33165
Phone (305) 221-9657

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIHCD/Endpoint/EHIHCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1386963619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935752",
            "telephone_number": "786-253-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935827",
            "telephone_number": "305-614-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA SANTANA",
        "first_name": "SULEIDYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.