Individual provider Active NPI

Santiago Pena, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1609240175
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115290 Issued in FL
Practice address
745 Meadows Rd Ste 101
Boca Raton, FL 33486-2324
Phone
(561) 955-6784
Fax
(833) 464-3109
NPI assigned
Nov 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115290 FL Primary

Addresses

Primary practice location

745 Meadows Rd Ste 101
Boca Raton, FL 33486-2324

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215001393 FL Practitioner - Physician Assistant 9335530955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

5673 Coral Ridge Dr
Coral Springs, FL 33076-3124
Phone (954) 837-1480

6264 W Sample Rd
Coral Springs, FL 33067-3273

8725 SW 136TH St
Miami, FL 33176-5814

8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Jan 7, 2022 Accepting new patients

Locations

5673 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 837-1480

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

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": "1448064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1609240175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MEADOWS RD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862324",
            "telephone_number": "561-955-6784",
            "fax_number": "833-464-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SANTIAGO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.