Jomary Santiago Illas, AGACNP-BC
NPI 1720850167 · Acute Care Nurse Practitioner · Hialeah, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jomary Santiago Illas, AGACNP-BC is a Acute Care Nurse Practitioner provider in Hialeah, FL (NPI 1720850167).
Provider details
- NPI number
- 1720850167
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11026344 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-28
Frequently asked questions
- What is Jomary Santiago Illas's NPI number?
- Jomary Santiago Illas's National Provider Identifier (NPI) is 1720850167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jomary Santiago Illas's specialty?
- Jomary Santiago Illas is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jomary Santiago Illas located?
- Jomary Santiago Illas's practice location on file with NPPES is 395 W 42nd St, Hialeah, FL 33012-3914.
- What is Jomary Santiago Illas's phone number?
- The practice phone number listed in the NPPES registry for Jomary Santiago Illas is (786) 340-7538.
- Does Jomary Santiago Illas accept Medicare?
- Jomary Santiago Illas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jomary Santiago Illas's NPI active?
- Yes — Jomary Santiago Illas's NPI (1720850167) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.