Individual provider Active NPI

Niyasdeen Dieguez Santiesteban, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1669737953
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 124313 Issued in FL
Practice address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone
(786) 599-3419
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
373797731MedicaidFL
ME124313OtherFLLICENSE

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
I20180320000518 FL Practitioner - Pediatric Medicine 2163784778 Reassigns benefits to 7 organizations

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
Urgent Care Physicians of West Kendall LLC 31 clinicians
Urgent Care Physicians of Country Walk LLC 34 clinicians
Urgent Care Physicians of Tamiami LLC 30 clinicians
Urgent Care Physicians of Cutler Bay LLC 22 clinicians
Urgent Care Physicians of Palmetto Bay LLC 32 clinicians
Urgent Care Physicians of Westchester LLC 23 clinicians

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

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 124313FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Country Walk LLC CurrentSince Feb 10, 2022 Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Feb 10, 2022 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Feb 10, 2022 Accepting new patients
Equality Mental Center Inc CurrentSince Aug 18, 2024 Accepting new patients
Urgent Care Physicians of Westchester LLC CurrentSince Feb 10, 2022 Accepting new patients
Urgent Care Physicians of Cutler Bay, LLC CurrentSince Feb 20, 2025 Accepting new patients
Urgent Care Physicians of West Kendall LLC CurrentSince Feb 10, 2022 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

9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261

13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100

5803 NW 151st St
Ste 200B
Miami Lakes, FL 33014
Phone (305) 402-4793

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200

Interoperability endpoints

  • Direct secure messaging: 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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373797731",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME124313",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.