Healthcare Provider Details

I. General information

NPI: 1477280048
Provider Name (Legal Business Name): YOANED SANTANA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 W 16TH AVE STE 61
HIALEAH FL
33012-7194
US

IV. Provider business mailing address

11440 SW 32ND ST
MIAMI FL
33165-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-0754
  • Fax:
Mailing address:
  • Phone: 305-303-0754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11020650
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11020650
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: