Individual provider Active NPI

Roberto Camilo Santiesteban Batista, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1962867333
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014243 Issued in FL
Practice address
4701 SW 32ND Ave Apt 4
Fort Lauderdale, FL 33312-6957
Phone
(754) 281-9947
NPI assigned
Dec 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

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

Addresses

Primary practice location

4701 SW 32ND Ave Apt 4
Fort Lauderdale, FL 33312-6957

Mailing address

4701 SW 32ND Ave Apt 4
Fort Lauderdale, FL 33312-6957
Phone (754) 281-9947

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 and National Provider Directory roles.

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": "1629331200000",
    "number": "1962867333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SW 32ND AVE APT 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126957",
            "telephone_number": "754-281-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SW 32ND AVE APT 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126957",
            "telephone_number": "754-281-9947"
        }
    ],
    "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": "2021-08-19",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.