Healthcare Provider Details

I. General information

NPI: 1154963536
Provider Name (Legal Business Name): AURA CRISTINA SANTAELLA APRN, FNP-C, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 N KENDALL DR STE 211
MIAMI FL
33176-1029
US

IV. Provider business mailing address

15034 SW 110TH TER
MIAMI FL
33196-2518
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-2255
  • Fax:
Mailing address:
  • Phone: 786-970-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011844
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC003845
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number9569343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: