Mayelin Santos Pestana

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11025783 Issued in FL

Practice address

19325 SW 120TH Ave
Miami, FL 33177-6514

Phone

(305) 720-3733

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1831788306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19325 SW 120TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776514",
            "telephone_number": "305-720-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19325 SW 120TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776514",
            "telephone_number": "305-720-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS PESTANA",
        "first_name": "MAYELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9552221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Santos Miguel, RBT
• Jennifer Santos Morales
• Liudmila Elizabeth Santos Narbona
• Yissel Santos Pena
• Melanie De la Caridad Santos Perez
• Santos Pharmacy Inc
• Mariela Santos Pineda
• Yuleyvis Santos Pinto
• Santos Rehabilitation Center Inc
• Yelixa Santos Roman, MD

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.