Provider Demographics
NPI:1730672650
Name:PEREZ SANTAMARIA, AIDA M (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:M
Last Name:PEREZ SANTAMARIA
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:AIDA
Other - Middle Name:
Other - Last Name:PEREZ SANTAMARIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1748 W 56TH TER UNIT 410
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2006
Mailing Address - Country:US
Mailing Address - Phone:786-319-8826
Mailing Address - Fax:
Practice Address - Street 1:1748 W 56TH TER UNIT 410
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2006
Practice Address - Country:US
Practice Address - Phone:786-319-8826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9285606163WC0400X
FLAPRN9285606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management