Active NPI
Livia Iris Santos
- Dentist
- Cidra, PR
National Provider Identifier
1184833659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2780
- Practice address
- B Cidra Professional Center
Local 3
Cidra, PR 00739 - Phone
- (787) 714-0681
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2780 | PR | Primary |
Addresses
Primary practice location
B Cidra Professional Center
Local 3
Cidra, PR 00739
Mailing address
418 Camino Miramelinda
Sabanera
Cidra, PR 00739
Phone (787) 714-0681
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 |
|---|---|---|---|
| 2780 | PR | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1184833659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CAMINO MIRAMELINDA",
"address_2": "SABANERA",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-714-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B CIDRA PROFESSIONAL CENTER",
"address_2": "LOCAL 3",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-714-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "LIVIA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.