Active NPI
Claritsa Santos-Malave, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Hollywood, FL
National Provider Identifier
1467740423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- ME132512
- Practice address
- 1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402 - Phone
- (954) 265-5362
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | Q0357 | TX | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | ME132512 | FL | Primary |
Addresses
Primary practice location
1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402
Mailing address
1541 NW 159TH Ave
Pembroke Pines, FL 33028-1697
Phone (787) 366-1481
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csantosmalave170128@MHSDIRECT.NET |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901001590 | FL | Practitioner - Pediatric Medicine | 6103199708 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132512 | FL | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| Q0357 | TX | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet South Broward LLC | Pediatric Emergency Medicine | Current | Accepting new patients |
Locations
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
Interoperability endpoints
- csantosmalave170128@mhsdirect.net
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
FL, Pediatric Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1467740423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 NW 159TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281697",
"telephone_number": "787-366-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 JOE DIMAGGIO DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215402",
"telephone_number": "954-265-5362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS-MALAVE",
"first_name": "CLARITSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "TX",
"license": "Q0357",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME132512",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csantosmalave170128@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.