Individual provider Active NPI

Oscar Antonio Santos Rodriguez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1760117915
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11017950 Issued in FL
Practice address
14000 S Military TRL Ste 208
Delray Beach, FL 33484-2654
Phone
(239) 223-2751
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11017950 FL Primary

Addresses

Primary practice location

14000 S Military TRL Ste 208
Delray Beach, FL 33484-2654

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Other practice location 1

2625 Executive Park Dr Ste 5
Weston, FL 33331-3634
Phone (954) 694-0211

Other practice location 2

1111 SE Federal Hwy Ste 334
Stuart, FL 34994-3839
Phone (239) 223-2751

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
I20230830000169 FL Practitioner - Nurse Practitioner 2062875636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

1111 SE Federal Hwy 334
Elite Dna Stuart
Stuart, FL 34994-3839
Phone (772) 210-7554

2055 Reyko Rd
Suite 100
Jacksonville, FL 32207-2822
Phone (904) 648-8200

4310 Metro Pkwy
Suite 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1111 SE Federal Hwy
Ste 334
Stuart, FL 34994
Phone 2396906906 ext. 21659

2625 Executive Park Dr
Ste 5
Weston, FL 33331
Phone (941) 694-0211

Interoperability endpoints

  • Direct secure messaging: oscar.santos.rodriguez.1@13142.direct.athenahealth.com

Organizations & group practices 2

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760117915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 S MILITARY TRL STE 208",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334842654",
            "telephone_number": "239-223-2751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Executive Park Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313634",
            "country_code": "US",
            "telephone_number": "954-694-0211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 SE Federal Hwy Ste 334",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349943839",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS RODRIGUEZ",
        "first_name": "OSCAR",
        "middle_name": "ANTONIO",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.