Individual provider Active NPI

Remberto Santos

  • Obstetrics & Gynecology Physician
  • Aventura, FL
National Provider Identifier
1396075057
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME105791 Issued in FL
Practice address
2925 Aventura Blvd
Suite 302
Aventura, FL 33180-3124
Phone
(305) 931-7960
Fax
(305) 931-7957
NPI assigned
Dec 31, 2009
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME105791 FL Primary

Addresses

Primary practice location

2925 Aventura Blvd
Suite 302
Aventura, FL 33180-3124

Mailing address

2925 Aventura Blvd
Suite 302
Aventura, FL 33180-3124
Phone (305) 931-7960

Other identifiers 3

IdentifierTypeStateIssuer
CU534ZOtherFLMEDICARE INDIVIDUAL PTAN
CU534YOtherFLMEDICARE PTAN LINKED TO GROUP FT883A
002000400MedicaidFL

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
I20100302000698 FL Practitioner - Obstetrics/Gynecology 5799820718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12550 Biscayne Blvd
Suite 906
North Miami, FL 33181-2547
Phone (305) 931-7960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105791FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santos OBGYN Advanced Care LLC Obstetrics & Gynecology CurrentSince Jul 28, 2021 Accepting new patients
Raulerson GYN LLC Past Accepting new patients
Institute for Women's Health and Body, LLC Obstetrics & Gynecology Past Accepting new patients
OB/GYN Advanced Care Corp Obstetrics & Gynecology PastSince Feb 1, 2013 Accepting new patients

Locations

12550 Biscayne Blvd
Ste 906
North Miami, FL 33181
Phone (305) 931-7960

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1396075057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD",
            "address_2": "SUITE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-931-7960",
            "fax_number": "305-931-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD",
            "address_2": "SUITE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-931-7960",
            "fax_number": "305-931-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "REMBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME105791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "CU534Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LINKED TO GROUP FT883A",
            "identifier": "CU534Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002000400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.