Individual provider Active NPI

Jannette Barbosa Santana

  • Occupational Therapist
  • Ponce, PR
National Provider Identifier
1063945749
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
M.A OTR/L 0512 Issued in PR
Practice address
Carr 132 KM 22.7 Calle Miguel a Pou
Reparto Valle Alegre
Ponce, PR 00730
Phone
(787) 538-4906
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X M.A OTR/L 0512 PR Primary

Addresses

Primary practice location

Carr 132 KM 22.7 Calle Miguel a Pou
Reparto Valle Alegre
Ponce, PR 00730

Mailing address

PO Box 1097
Cabo Rojo, PR 00623-1097
Phone (787) 538-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M.A OTR/L 0512PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1063945749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231097",
            "telephone_number": "787-538-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 132 KM 22.7 CALLE MIGUEL A POU",
            "address_2": "REPARTO VALLE ALEGRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-538-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA SANTANA",
        "first_name": "JANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "M.A OTR/L 0512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.