Active NPI
Fernando Santiago-Rivera, M.D.
- Surgery Physician
- Aventura, FL
National Provider Identifier
1659546612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME101385
- Practice address
- 21150 Biscayne Blvd Ste 400
Aventura, FL 33180-1250 - Phone
- (305) 466-9988
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME101385 | FL | Primary |
Addresses
Primary practice location
21150 Biscayne Blvd Ste 400
Aventura, FL 33180-1250
Mailing address
9901 NW 39TH CT
Coral Springs, FL 33065-1526
Phone (954) 213-1131
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101385 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1659546612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 NW 39TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330651526",
"telephone_number": "954-213-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 BISCAYNE BLVD STE 400",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801250",
"telephone_number": "305-466-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO-RIVERA",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME101385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.