Jennifer E Nieves Santos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13336 Issued in PR

Practice address

Carr. #3 KM 28.8
Bo Carola
Rio Grande, PR 00745

Phone

(787) 657-0102

Fax

(787) 657-0102

NPI assigned

Jun 28, 2006

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospicio Plena Serenidad, Inc

  • Community Based Hospice Care Agency
  • Carolina, PR
  • NPI 1427140607

  Contracted Managing Employee, Corporate Director

  CMS ownership

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1083642359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381960",
            "telephone_number": "787-382-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #3 KM 28.8",
            "address_2": "BO CAROLA",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-657-0102",
            "fax_number": "787-657-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES SANTOS",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Municipio de Rio Grande
• MVP Opticals LLC
• Carlos Gabriel Natal Deliz, DMD
• Next G Corp
• Sonia Nieves Santiago, PHD
• Eduardo Nieves-Olabarrieta, M.D.
• Edward Nieves-Roman, M.D.
• Antonia Nieves, MSW
• Nutrevita Clinic LLC
• Glenda M Ocasio

• General Practice Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.