Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1154510212
Gerardo Santos Psyd P A
Organization Subpart: NO
Active
NPI Number1154510212
NPI TypeNPI-2 Organization
SpecialtyPsychologist, Clinical
Provider Details
NPI1154510212
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-10-15
Last Updated2007-10-15
Authorized OfficialGerardo Santos
PRESIDENT
Phone: 3057773881
Mailing Address6625 Miami Lakes Dr, Suite 326
Miami Lakes, FL 33014-2708
United States
Phone: (305) 777-3881 | Fax: (305) 777-3802
📍 View Map
Primary Practice Address6625 Miami Lakes Dr, Suite 326
Miami Lakes, FL 33014-2708
United States
Phone: (305) 777-3881 | Fax: (305) 777-3802
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FLPY7282LICENSE
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103TC0700X – Psychologist, Clinical--
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About NPI 1154510212

Gerardo Santos Psyd P A is an organization registered in the CMS NPPES NPI Registry with NPI number 1154510212. The primary specialty listed is Psychologist, Clinical. The organization is located in Miami Lakes, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-10-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154510212?

NPI 1154510212 belongs to Gerardo Santos Psyd P A, a Psychologist, Clinical in Miami Lakes, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154510212 active?

The current status of NPI 1154510212 in the NPPES registry is Active. The record was last updated on 2007-10-15.

What specialty is NPI 1154510212?

NPI 1154510212 is classified under the taxonomy Psychologist, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154510212?

You can verify NPI 1154510212 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154510212?

The primary practice address on file for NPI 1154510212 is 6625 Miami Lakes Dr, Miami Lakes, FL 33014-2708. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154510212 issued?

NPI 1154510212 was first issued (enumerated) on 2007-10-15. The NPPES record was last updated on 2007-10-15.

Practice Location Map

Gerardo Santos Psyd P A is located at 6625 Miami Lakes Dr, Miami Lakes, FL. Use the map below to find directions or verify the practice location.

📍 6625 Miami Lakes Dr, Miami Lakes, FL 33014-2708  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Gerardo Santos Psyd P A. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162