Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa N Mastromarino

Individual provider Registered Nurse · NPI 1063070340

Elisa N Mastromarino is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Qualified in 2019, 7 years ago. Practices with Galloway Anesthesia Associates LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

900 NW 17th St
Miami, FL 33136-1119
Phone: (305) 326-6543
Fax: (305) 326-6563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11003556 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9388755 (FL)

Record details

NPI number1063070340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Galloway Anesthesia Associates Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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