Individual provider Active NPI

William Antonio Santana Esquilin, R.P.T

  • Physical Therapist
  • Canovanas, PR
National Provider Identifier
1013900711
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1177 Issued in PR
Practice address
103 Calle Corchado
Canovanas, PR 00729-3257
Phone
(787) 647-8700
Fax
(800) 319-5344
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1177 PR Primary

Addresses

Primary practice location

103 Calle Corchado
Canovanas, PR 00729-3257

Mailing address

348 Vistas Rio Grande
Rio Grande, PR 00745-9734
Phone (787) 642-1618

Other identifiers 2

IdentifierTypeStateIssuer
870047OtherPRMMM HEALTHCARE PROVIDER N
7450061OtherPRHUMANA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000406 PR Practitioner - Physical Therapist in Private Practice 6204733678 Reassigns benefits to 2 organizations
Practice locations: Canovanas, PR; Rio Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Hearing Center IncGroup PAC ID 2769650274, 37 clinicians

Practice addresses (Care Compare)

Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322

CDT de Canovanas Calle Corchado
Canovanas, PR 00729
Phone (787) 647-8700

Sector Urb Rio Grande Hill
Carr Num 3
Rio Grande, PR 00745
Phone (787) 809-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1177PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emds Physical Therapy L.L.C Physical Therapist Current Accepting new patients
Grupo Fisiatrico-Dental del Este, Corp. Past Accepting new patients
Canovanas Medical Center CSP Past Accepting new patients
SM Medical Services, CSP Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1013900711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 VISTAS RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007459734",
            "telephone_number": "787-642-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CALLE CORCHADO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293257",
            "telephone_number": "787-647-8700",
            "fax_number": "800-319-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA ESQUILIN",
        "first_name": "WILLIAM",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE PROVIDER N",
            "identifier": "870047",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "7450061",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.