Active NPI
Indira Santana Martinez, CBHCM.0104968
- Case Manager/Care Coordinator
- Miami, FL
National Provider Identifier
1861121402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9170 Fontainebleau Blvd Apt 105
Miami, FL 33172-4335 - Phone
- (786) 312-9208
- NPI assigned
- Jun 8, 2022
- Last updated
- Jun 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCM.0104968 | FL | |
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
9170 Fontainebleau Blvd Apt 105
Miami, FL 33172-4335
Mailing address
9170 Fontainebleau Blvd Apt 105
Miami, FL 33172-4335
Phone (786) 312-9208
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM.0104968 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1861121402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9170 FONTAINEBLEAU BLVD APT 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724335",
"telephone_number": "786-312-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 FONTAINEBLEAU BLVD APT 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724335",
"telephone_number": "786-312-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA MARTINEZ",
"first_name": "INDIRA",
"credential": "CBHCM.0104968",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCM.0104968",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Grace Santana Hernandez, ARNP
- Adis Santana Herrera
- Valmy Santana Lam
- Claudia Barbara Santana Lopez, RBT
- Rosmery Santana Marrero, BCBA
- Santana Medical Center Inc
- Santana Medical Center Inc
- Santana Mental Health Services LLC (Santana Mental Health Services)
- Madeline Santana Nodarse
- Aleymi Santana Pedrero
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.