Healthcare Provider Details

I. General information

NPI: 1255687034
Provider Name (Legal Business Name): LIZ YOVANNA BAYES SANTOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1601 NW 12TH AVE
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-7570
  • Fax: 305-243-3990
Mailing address:
  • Phone: 305-243-7570
  • Fax: 305-243-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME115381
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME115381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: