Individual provider Active NPI

Mirelis Cutino Santana, PH1

  • Phlebotomy Technician
  • Lakeland, FL
National Provider Identifier
1629960109
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
55610050 Issued in FL
Practice address
226 N Chestnut Rd
Lakeland, FL 33815-7338
Phone
(863) 347-0119
Fax
(941) 827-4700
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 55610050 FL Primary

Addresses

Primary practice location

226 N Chestnut Rd
Lakeland, FL 33815-7338

Mailing address

226 N Chestnut Rd
Lakeland, FL 33815-7338
Phone (863) 347-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55610050FLMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Amensy Home Care LLC CurrentSince Jul 22, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1629960109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N CHESTNUT RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338157338",
            "telephone_number": "863-347-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N CHESTNUT RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338157338",
            "telephone_number": "863-347-0119",
            "fax_number": "941-827-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTINO SANTANA",
        "first_name": "MIRELIS",
        "credential": "PH1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "55610050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.