Provider Demographics
NPI:1730855586
Name:SANTIESTEBAN, ANA MARIA (NP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:SANTIESTEBAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1606
Mailing Address - Country:US
Mailing Address - Phone:053-569-4125
Mailing Address - Fax:877-890-1412
Practice Address - Street 1:4200 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1606
Practice Address - Country:US
Practice Address - Phone:305-569-4125
Practice Address - Fax:877-890-1412
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily