MEDICARE: YDANIA SANTACLARA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	9339483	FL
2	363LF0000X	Family Nurse Practitioner	9339483	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346670494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YDANIA SANTACLARA ARNP

Provider Business Mailing Address
First Line	:	8749 W 37TH AVE APT 303
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-2290
Country	:	US
Telephone Number	:	786-261-8872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4805
Country	:	US
Telephone Number	:	786-261-8872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	06/24/2024

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