Individual provider Active NPI

Maricarmen Lizbeth Dionisio Santos, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1770061103
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME162199 Issued in FL
Practice address
7001 SW 87TH Ave
Miami, FL 33173-2505
Phone
(305) 271-8222
NPI assigned
Jul 28, 2018
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME162199 FL Primary

Addresses

Primary practice location

7001 SW 87TH Ave
Miami, FL 33173-2505

Mailing address

7001 SW 87TH Ave
Miami, FL 33173-2505
Phone (305) 271-8222

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
I20230811000056 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5395107148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162199FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Professional Associates, P.a. Pediatrics PastSince Aug 6, 2023 Accepting new patients
Vitalmd Group Holding LLC Pediatrics PastSince Aug 6, 2023 Accepting new patients

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, 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": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1770061103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732505",
            "telephone_number": "305-271-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732505",
            "telephone_number": "305-271-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO SANTOS",
        "first_name": "MARICARMEN",
        "middle_name": "LIZBETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME162199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.