Provider Demographics
NPI:1568955946
Name:PRIETO, HUGO SANTIAGO (NP)
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:SANTIAGO
Last Name:PRIETO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6790 NW 186TH ST APT 316
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3355
Mailing Address - Country:US
Mailing Address - Phone:786-475-0445
Mailing Address - Fax:
Practice Address - Street 1:6790 NW 186TH ST APT 316
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3355
Practice Address - Country:US
Practice Address - Phone:786-475-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9190004363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health