Individual provider Active NPI

Angel Y De Jesus-Saldana, CRNA

  • Certified Registered Nurse Anesthetist
  • Guaynabo, PR
National Provider Identifier
1194221093
Registry record updated Apr 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
109188 Issued in PR
Practice address
321 Valle de Torrimar
Guaynabo, PR 00966-8706
Phone
(787) 248-1457
NPI assigned
Apr 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 109188 PR Primary

Addresses

Primary practice location

321 Valle de Torrimar
Guaynabo, PR 00966-8706

Mailing address

321 Valle de Torrimar
Guaynabo, PR 00966-8706
Phone (787) 248-1457

Other identifiers 1

IdentifierTypeStateIssuer
109188MedicaidPR

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
109188PRMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1194221093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 VALLE DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009668706",
            "telephone_number": "787-248-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 VALLE DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009668706",
            "telephone_number": "787-248-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS-SALDANA",
        "first_name": "ANGEL",
        "middle_name": "Y",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "109188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109188",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.