Active NPI
Niyasdeen Dieguez Santiesteban, M.D.
- Pediatrics Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 124313
- Practice address
- 3100 SW 62ND Ave
Miami, FL 33155-3009 - Phone
- (786) 599-3419
- NPI assigned
- Jul 12, 2012
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 124313 | FL | Primary |
| Pediatrics Physician | 208000000X | ME124313 | FL |
Addresses
Primary practice location
3100 SW 62ND Ave
Miami, FL 33155-3009
Mailing address
9910 W Calusa Club Dr
Miami, FL 33186-1512
Phone (786) 599-3419
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME124313 | Other | FL | LICENSE |
| 373797731 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13001 N Kendall Dr
Miami, FL 33186-1708
Phone (786) 596-3800
13500 SW 152 St
Miami, FL 33177-1111
Phone (786) 596-4300
14660 SW 8TH St
Suite 100
Miami, FL 33184-3135
Phone (786) 596-4100
20997 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1780
8750 SW 144TH St
Miami, FL 33176-7229
Phone (786) 596-3840
8840 Bird Rd
Suite 100
Miami, FL 33165-5482
Phone (786) 596-3890
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 124313 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equality Mental Center Inc | Current | Accepting new patients | |
| Urgent Care Physicians of Cutler Bay, LLC | Current | Accepting new patients | |
| Urgent Care Physicians of West Kendall LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Tamiami LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Country Walk LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Palmetto Bay LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Westchester LLC | Current | Accepting new patients |
Locations
6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010
20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780
13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800
13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300
14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100
14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261
8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890
9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594
5803 NW 151st St
Ste 200B
Miami Lakes, FL 33014
Phone (305) 402-4793
8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 595-1850
11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200
Interoperability endpoints
- sjcndiegue@yourcarecommunity.org
Organizations & group practices 7
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.
-
- General Practice Physician
- Miami, FL
- NPI 1689838849
-
- General Practice Physician
- Cutler Bay, FL
- NPI 1356163638
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
-
- General Practice Physician
- Miami, FL
- NPI 1639381965
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
-
- General Practice Physician
- Miami, FL
- NPI 1992928162
-
- Community/Behavioral Health Agency
- Miami Lakes, FL
- NPI 1285217356
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669737953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 W CALUSA CLUB DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861512",
"telephone_number": "786-599-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "786-599-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEGUEZ SANTIESTEBAN",
"first_name": "NIYASDEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 124313",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME124313",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME124313",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373797731",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.