Individual provider Active NPI

Teresita De Jesus Santander, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1790267045
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9324197 Issued in FL
Practice address
175 Fontainebleau Blvd Ste 2G
Miami, FL 33172-4511
Phone
(786) 947-5250
Fax
(786) 947-5251
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9324197 FL Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 2G
Miami, FL 33172-4511

Mailing address

175 Fontainebleau Blvd Ste 2G
Miami, FL 33172-4511
Phone (786) 269-1178

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
I20220113002687 FL Practitioner - Nurse Practitioner 7719379171 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9324197FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Rehab & Therapy Center LLC CurrentSince Nov 11, 2021 Accepting new patients
Santander Medical Care, LLC Family CurrentSince May 2, 2025 Accepting new patients

Locations

8370 W Flagler St
Ste 118
Miami, FL 33144
Phone (305) 207-9844

175 Fontainebleau Blvd
Ste 2G
Miami, FL 33172
Phone (305) 224-2772

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1790267045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-269-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-947-5250",
            "fax_number": "786-947-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANDER",
        "first_name": "TERESITA",
        "middle_name": "DE JESUS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9324197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.