Individual provider Active NPI

Roberto Camilo Santiesteban Batista, APRN

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1962867333
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014243 Issued in FL
Practice address
450 SW 136TH Ave
Pembroke Pines, FL 33027-6073
Phone
(954) 751-5044
Fax
(954) 751-5044
NPI assigned
Dec 29, 2015
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11014243 FL
Nurse Practitioner 363L00000X APRN11014243 FL Primary

Addresses

Primary practice location

450 SW 136TH Ave
Pembroke Pines, FL 33027-6073

Mailing address

450 SW 136TH Ave
Pembroke Pines, FL 33027-6073
Phone (954) 751-5044

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
I20220629003419 FL Practitioner - Nurse Practitioner 7012397599 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014243FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Rothstein, D.O. P.a. Multi-Specialty CurrentSince Mar 26, 2022 Accepting new patients
DZB Medical Services Multi-Specialty CurrentSince May 12, 2024 Accepting new patients
Angels Services, Corp. Past Accepting new patients
LFT Management, Inc. PastSince Mar 26, 2022 Accepting new patients

Locations

4030 Sheridan St
Ste A
Hollywood, FL 33021
Phone (954) 963-6530

3375 Burns Rd
Ste 204
West Palm Bch, FL 33410
Phone (561) 515-3600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1962867333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SW 136TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276073",
            "telephone_number": "954-751-5044",
            "fax_number": "954-751-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SW 136TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276073",
            "telephone_number": "954-751-5044",
            "fax_number": "954-751-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIESTEBAN BATISTA",
        "first_name": "ROBERTO",
        "middle_name": "CAMILO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014243",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.