Individual provider Active NPI

Juan Santana Ortiz, CRNA

  • Certified Registered Nurse Anesthetist
  • Coral Gables, FL
National Provider Identifier
1720867245
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11029683 Issued in FL
Practice address
5101 SW 8TH St Ste 201
Coral Gables, FL 33134-2442
Phone
(305) 262-6060
NPI assigned
Sep 25, 2023
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11029683 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 4395 PR

Addresses

Primary practice location

5101 SW 8TH St Ste 201
Coral Gables, FL 33134-2442

Mailing address

5101 SW 8TH St Ste 201
Coral Gables, FL 33134-2442
Phone (305) 262-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129001353 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062941560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelican Anesthesia LLCGroup PAC ID 0244416022, 14 clinicians

Practice addresses (Care Compare)

5101 SW 8TH St
Coral Gables, FL 33134-2442
Phone (305) 461-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4395PRMDSpeech-Language Pathologist
APRN11029683FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastromed, LLC CurrentSince Dec 9, 2024 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients

Locations

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

5101 SW 8th St
Ste 100
Coral Gables, FL 33134

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1720867245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH ST STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-262-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH ST STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-262-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA ORTIZ",
        "first_name": "JUAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11029683",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "4395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.