Individual provider Active NPI

Santiago A Abreu, P.A

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1669422200
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9101874 Issued in FL
Practice address
8900 SW 117TH Ave
Suite B104
Miami, FL 33186-2175
Phone
(305) 279-0159
Fax
(786) 263-0179
NPI assigned
May 12, 2006
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9101874 FL Primary

Addresses

Primary practice location

8900 SW 117TH Ave
Suite B104
Miami, FL 33186-2175

Mailing address

8900 SW 117TH Ave
Suite B104
Miami, FL 33186-2175
Phone (305) 279-0159

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000021 FL Practitioner - Physician Assistant 7214949262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Corces MD PA PastSince Oct 1, 2023 Accepting new patients
Orthopedic Innovators Inc Past Accepting new patients

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1669422200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 117TH AVE",
            "address_2": "SUITE B104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862175",
            "telephone_number": "305-279-0159",
            "fax_number": "786-263-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 117TH AVE",
            "address_2": "SUITE B104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862175",
            "telephone_number": "305-279-0159",
            "fax_number": "786-263-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "SANTIAGO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.