Active NPI
Souvenir Matteo Santini, PA
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1851965982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 000206
- Practice address
- 571 NW 189TH Ter
Miami, FL 33169-3958 - Phone
- (754) 204-7649
- NPI assigned
- May 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 206PA | PR | |
| Psychiatry Physician | 2084P0800X | 000206 | PR | Primary |
Addresses
Primary practice location
571 NW 189TH Ter
Miami, FL 33169-3958
Mailing address
571 NW 189TH Ter
Miami, FL 33169-3958
Phone (754) 204-7649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000206 | PR | MD | Psychiatry Physician |
| 206PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1851965982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 NW 189TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331693958",
"telephone_number": "754-204-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 NW 189TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331693958",
"telephone_number": "754-204-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTINI",
"first_name": "SOUVENIR",
"middle_name": "MATTEO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "206PA",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "000206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.