Individual provider Active NPI

Jorge L. Santana - Bagur, M.D.

  • Infectious Disease Physician
  • Manati, PR
National Provider Identifier
1063463586
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
8813 Issued in PR
Practice address
Manati Medical Center, Dr. Otero Lopez
Manati, PR 00674-0674
Phone
(787) 398-7955
NPI assigned
May 12, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 8813 PR Primary

Addresses

Primary practice location

Manati Medical Center, Dr. Otero Lopez
Manati, PR 00674-0674

Mailing address

PO Box 8957
San Juan, PR 00910-0957
Phone (787) 398-7955

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
I20120413000058 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 2466613765 Reassigns benefits to 1 organization
Practice locations: San Juan, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935-0001
Phone (787) 754-0101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8813PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Infectious Disease CurrentSince Jul 21, 2013 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jul 21, 2013 Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 2

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1063463586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8957",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100957",
            "telephone_number": "787-398-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER, DR. OTERO LOPEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740674",
            "telephone_number": "787-398-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA - BAGUR",
        "first_name": "JORGE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "8813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.