ODALIS ALTAGRACIA BAEZ SANTANA (NPI# 1770094070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770094070 |
| Entity Type | Individual |
| Full Name | ODALIS ALTAGRACIA BAEZ SANTANA |
| Credential | ARNP |
| Practice Address |
20215 Nw 2nd Ave Ste 1 Miami FL 33169-2538 |
| Mailing Address |
3130 Nw 174th St Miami Gardens FL 33056-4041 |
| Practice Telephone | 3056855688 |
| Practice Fax Number | 3056524545 |
| Mailing Telephone | 7865417400 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9428683 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20215 NW 2ND AVE STE 1 |
| City | MIAMI |
| State | FL |
| Zip Code | 33169-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454916 | Carline Oyadiran | Internal Medicine | 20215 Nw 2nd Ave Ste 1, Miami, FL 33169-2538 | 2005-08-19 |
| 1063893956 | Ariel Rangel Navarro | Social Worker | 20215 Nw 2nd Ave Ste 1, Miami, FL 33169-2538 | 2015-06-16 |
| 1932132057 | Samuel Nodal | Internal Medicine | 20215 Nw 2nd Ave Ste 1, Miami, FL 33169-2538 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099701 | Neyma Reyes | Nurse Practitioner | 14701 Sw 155th Pl, Miami, FL 33196-2892 | 2020-07-04 |
| 1134755044 | Pro Healthcare Services Inc | Nurse Practitioner | 4630 Sw 99th Ave, Miami, FL 33165-5761 | 2020-03-23 |
| 1760027296 | Japonesa Maria Read | Nurse Practitioner | 9713 Sw 134th Pl, Miami, FL 33186-2258 | 2019-11-07 |
| 1336780857 | Debbie Anne Raymond | Nurse Practitioner | 12953 Sw 132nd Ter, Miami, FL 33186-7222 | 2019-10-06 |
| 1952959678 | Madelein Escarpio | Nurse Practitioner | 2820 Sw 101st Ct, Miami, FL 33165-2931 | 2019-08-27 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1598236739 | Aera Jeong | Nurse Practitioner | 10110 Sw 85th St, Miami, FL 33173-3919 | 2018-12-16 |
| 1821573445 | Pierre Antonio Gonzalez | Nurse Practitioner | 13350 N Miami Ave, Miami, FL 33168-4715 | 2018-09-28 |
| 1538644620 | Bianca M Capella | Nurse Practitioner | 15321 Sw 108th Ter, Miami, FL 33196-3591 | 2018-09-25 |
| 1790269587 | Karina E Garcia | Nurse Practitioner | 3166 Sw 16 Terrace, Miami, FL 33145-1814 | 2018-09-18 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.