Individual provider Active NPI

Kiyomi M Santos Onoda, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1003806324
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8100 Issued in PR
Practice address
602 Calle Jose V Rodriguez
Penuelas, PR 00624-1807
Phone
(787) 836-3288
Fax
(866) 626-2798
NPI assigned
Oct 27, 2005
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8100 PR Primary

Addresses

Primary practice location

602 Calle Jose V Rodriguez
Penuelas, PR 00624-1807

Mailing address

PO Box 10730
Ponce, PR 00732-0730
Phone (787) 836-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000200 PR Practitioner - General Practice 2062456163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Ceski CSPGroup PAC ID 1456482868, 2 clinicians

Practice addresses (Care Compare)

602 Calle Jose V Rodriguez
Penuelas, PR 00624-1807
Phone (787) 836-3288

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8100PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Ceski C S P CurrentSince Jan 12, 2010 Accepting new patients

Locations

602 Calle Jose V Rodriguez
Penuelas, PR 00624
Phone (787) 836-3288

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1003806324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10730",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320730",
            "telephone_number": "787-836-3288",
            "fax_number": "787-836-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CALLE JOSE V RODRIGUEZ",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241807",
            "telephone_number": "787-836-3288",
            "fax_number": "866-626-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ONODA",
        "first_name": "KIYOMI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.