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JORGE SANTANDER MD PA
NPI 1417004789
Family Medicine in Miami, FL

Active since January 05, 2007
4080 SW 84TH AVE, STE D, MIAMI, FL 33155(305) 223-1140(305) 223-1174 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jorge Santander Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE SANTANDER MD PA (NPI 1417004789) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since January 2007. The organization lists Jorge Santander, President, as its authorized official.

NPPES Registry Identity

NPI1417004789
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJORGE SANTANDER MD PA
Location Address4080 SW 84TH AVE, STE DMiami, FL 33155-4201
Mailing Address4080 Sw 84th Ave, Ste DMiami, FL 33155-4201 · (305) 223-1140 · Fax (305) 223-1174
Phone(305) 223-1140
Fax(305) 223-1174
Organization SubpartNo
Authorized OfficialJorge SantanderPresident · (305) 223-1140
Enumeration DateJanuary 5, 2007
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1417004789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME83255
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4080 SW 84TH AVE, Miami, FL 33155
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Other Identifiers 1

Medicare PINAA113FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Santander Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jorge Santander MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge Santander, MD
General Practice
NPI 1467499285
4080 SW 84TH AVE STE D
Miami, FL 33155
(305) 223-1140
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Santander MD PA's NPI number?

The NPI number for Jorge Santander MD PA is 1417004789. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Jorge Santander MD PA located?

Jorge Santander MD PA is located at 4080 SW 84th Ave Ste D, Miami, FL 33155. The listed phone number is (305) 223-1140.

What is Jorge Santander MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jorge Santander MD PA enrolled in Medicare?

Yes. Jorge Santander MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jorge Santander MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Jorge Santander MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jorge Santander MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Jorge Santander MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jorge Santander MD PA was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.