Healthcare Provider Details

I. General information

NPI: 1861370314
Provider Name (Legal Business Name): DAILEEN PAULINO-SANTANA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 08/23/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 STUYVESANT OVAL APT MA
NEW YORK NY
10009-2145
US

IV. Provider business mailing address

3 STUYVESANT OVAL APT MA
NEW YORK NY
10009-2145
US

V. Phone/Fax

Practice location:
  • Phone: 305-962-0940
  • Fax:
Mailing address:
  • Phone: 305-962-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95674101
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: