Individual provider Active NPI

Dayhana Pena Santiago, MD

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1649656323
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME162799 Issued in FL
Practice address
1 SW 129TH Ave
Pembroke Pines, FL 33027-1761
Phone
(754) 888-9088
Fax
(954) 800-6031
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 ME162799 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave
Pembroke Pines, FL 33027-1761

Mailing address

1 SW 129TH Ave Ste 105
Pembroke Pines, FL 33027-1716
Phone (754) 888-9088

Other identifiers 3

IdentifierTypeStateIssuer
SCC916J577OtherSCMEDICARE PIN
SCC916H888OtherSCMEDICARE PIN
518915MedicaidSC

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
I20230703002490 FL Practitioner - Family Practice 5799032561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 SW 129TH Ave
Suite 105
Pembroke Pines, FL 33027-1716
Phone (754) 888-9088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162799FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proper Health and Wellness Inc Family Medicine CurrentSince Dec 15, 2023 Accepting new patients

Locations

1 SW 129th Ave
Ste 105
Pembroke Pines, FL 33027
Phone (754) 888-9088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEEDD/Endpoint/AHEEDD

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1649656323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271716",
            "telephone_number": "754-888-9088",
            "fax_number": "954-800-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "754-888-9088",
            "fax_number": "954-800-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA SANTIAGO",
        "first_name": "DAYHANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC916J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC916H888",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518915",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.