Individual provider Active NPI

Idalmis Santana-Porben, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1649280918
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88244 Issued in FL
Practice address
15516 SW 88TH St
Miami, FL 33196-1554
Phone
(305) 387-3300
Fax
(888) 857-3579
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME88244 FL Primary

Addresses

Primary practice location

15516 SW 88TH St
Miami, FL 33196-1554

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address idalmis.santana-porben.1@29601.direct.athenahealth.com

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
I20050630000408 FL Practitioner - Family Practice 4082650957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

15516 SW 88TH St
Miami, FL 33196-1554
Phone (305) 387-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88244FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Oct 21, 2019 Accepting new patients
South Care Center Inc Past Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

975 W 49th St
Hialeah, FL 33012
Phone (305) 512-9381

650 N Homestead Blvd
Homestead, FL 33030
Phone (786) 243-5900

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

15516 SW 88th St
Miami, FL 33196
Phone (305) 387-3300

Interoperability endpoints

  • Direct secure messaging: idalmis.santana-porben.1@29601.direct.athenahealth.com

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1649280918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15516 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961554",
            "telephone_number": "305-387-3300",
            "fax_number": "888-857-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA-PORBEN",
        "first_name": "IDALMIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "idalmis.santana-porben.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "15516 SW 88th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.