Individual provider Active NPI

Magdaris Aida Santiago-McQuaid, AU.D

  • Audiologist
  • Fort Lauderdale, FL
National Provider Identifier
1639573868
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY 584 Issued in FL
Practice address
2900 W Cypress Creek Rd. Suite #3
Ft. Lauderdale, FL 33309
Phone
(954) 601-1930
Fax
(954) 601-1399
NPI assigned
Oct 17, 2014
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 584 FL Primary

Addresses

Primary practice location

2900 W Cypress Creek Rd. Suite #3
Ft. Lauderdale, FL 33309

Mailing address

2900 W Cypress Creek Rd. Suite #3
Ft. Lauderdale, FL 33309
Phone (954) 601-1930

Other names 1

  • Magdaris Aida Santiago Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526001310 FL Practitioner - Qualified Audiologist 8729308150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 584FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing and Communication Audiologist CurrentSince Aug 30, 2023 Accepting new patients
Hearing and Speech Center of Florida Past Accepting new patients

Locations

2900 W Cypress Creek Rd
Ste 3
Ft Lauderdale, FL 33309
Phone (954) 301-1930

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1639573868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD. SUITE #3",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-601-1930",
            "fax_number": "954-601-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD. SUITE #3",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-601-1930",
            "fax_number": "954-601-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-MCQUAID",
        "first_name": "MAGDARIS",
        "middle_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDARIS",
            "last_name": "SANTIAGO",
            "middle_name": "AIDA",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.