Wilmary Santiago Rodriguez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10591 Issued in AZ

Practice address

8330 E Hartford Dr Ste 100
Scottsdale, AZ 85255-7205

Phone

(480) 745-3547

Fax

(480) 745-3548

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: wilmary.santiago.rodriguez.1@22601.direct.athenahealth.com

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.

• The Insomnia and Sleep Institute of Arizona LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1659633469
  Medicare reassignment

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1912734500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557205",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557205",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "WILMARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylynn Santana
• Mileny Santana
• Robert Scott Santana, RD
• Sante Hospice, LLC
• Sante Palliative Care LLC
• Vianeth Santiago
• Jessica Santini
• Carlos Santo, NMD
• Diego Augusto Santos Toesca, MD
• Allan Jeffrey Santos, DO

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.