Individual provider Active NPI

Lazaro Baldomero Varona Santana, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1992212740
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARPN11024769 Issued in FL
Practice address
1740 NW 88TH Way
Pembroke Pines, FL 33024-3319
Phone
(786) 280-2055
NPI assigned
Jan 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 17-686 FL
Family Nurse Practitioner 363LF0000X ARPN11024769 FL Primary

Addresses

Primary practice location

1740 NW 88TH Way
Pembroke Pines, FL 33024-3319

Mailing address

1740 NW 88TH Way
Pembroke Pines, FL 33024-3319
Phone (786) 280-2055

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

LicenseStateTypeSpecialty
17-686FLMDSurgical Assistant
ARPN11024769FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1992212740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NW 88TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243319",
            "telephone_number": "786-280-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 NW 88TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243319",
            "telephone_number": "786-280-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARONA SANTANA",
        "first_name": "LAZARO",
        "middle_name": "BALDOMERO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARPN11024769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.