Individual ProviderEdel SantosNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8101 SW 72nd Ave Apt 220w, Miami, FL 33143-7617(786) 287-6537PECOS EnrollmentBased on the most recent information from CMS, provider Edel Santos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1417983248Provider TypeIndividualFull NameSantos, EdelCredentialARNP, FNP-CGenderMaleSole ProprietorYesEnumeration Date6/23/2006Last Updated1/27/2018Contact InformationPractice LocationPractice Address8101 SW 72nd Ave Apt 220w, Miami, FL 33143-7617Phone(786) 287-6537FaxUnlisted FaxMailing LocationMailing Address8101 SW 72nd Ave Apt 220w, Miami, FL 33143-7617Phone(786) 287-6537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9299615FloridaProvider IdentifiersIDDescriptionIssuerID764528700DescriptionMedicaidIssuerUnlistedFlorida