Active NPI
Samuel Rodriguez Santiago
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1134629264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 6150196
- Practice address
- Barrio Monacillos
San Juan, PR 00935-0001 - Phone
- (787) 777-3535
- NPI assigned
- Feb 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6150196 | PR | Primary |
Addresses
Primary practice location
Barrio Monacillos
San Juan, PR 00935-0001
Mailing address
Sabanera del Rio
282 Camino del Mango
Gurabo, PR 00778
Phone (787) 385-7444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6150196 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1134629264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SABANERA DEL RIO",
"address_2": "282 CAMINO DEL MANGO",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-385-7444",
"fax_number": "787-385-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ SANTIAGO",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "6150196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Maura P Rodriguez Ruiz, SLP
- Angel F Rodriguez Saez
- Cristofe Dior Rodriguez Santiago, PHARMD.
- Giancarlos Jose Rodriguez Santiago
- Jachany Marie Rodriguez Santiago
- Zuleika Rodriguez Santos
- Rafael Rodriguez Sepulveda, M.D.
- Yarilys T Rodriguez Sepulveda, MD
- Efrain Jesus Rodriguez Sierra
- Nanichi Cristal Rodriguez Tardi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.