Individual provider Active NPI

Minerva Santo Tomas, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1699730978
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME-70314 Issued in FL
Practice address
6419 SW 40TH St
Miami, FL 33155-4827
Phone
(305) 774-5677
Fax
(305) 774-5697
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME-70314 FL Primary

Addresses

Primary practice location

6419 SW 40TH St
Miami, FL 33155-4827

Mailing address

6419 SW 40TH St
Miami, FL 33155-4827
Phone (305) 774-5677

Other identifiers 1

IdentifierTypeStateIssuer
254617500MedicaidFL

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
I20080708000527 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880782358 Practice locations: Miami Beach, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-70314FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Development Inc Past Accepting new patients
Miami Cardiovascular Prevention Institute Past Accepting new patients
Doral Imaging Institute LLC Past Accepting new patients
Pedro Martinez-Clark MD PA Past Accepting new patients

Organizations & group practices 4

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1699730978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-774-5677",
            "fax_number": "305-774-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-774-5677",
            "fax_number": "305-774-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTO TOMAS",
        "first_name": "MINERVA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME-70314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254617500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.