Individual provider Active NPI

Luz Minerva Santos

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1245416809
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
008672 Issued in PR
Practice address
Calle San Antonio 1870-a
Imcs
San Juan, PR 00909
Phone
(787) 726-9620
Fax
(787) 726-1720
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 008672 PR Primary

Addresses

Primary practice location

Calle San Antonio 1870-a
Imcs
San Juan, PR 00909

Mailing address

Calle San Antonio 1870-a
International Manage Care Services
Paroda 26 San Juan, PR 00909
Phone (787) 726-9620

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
008672PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1245416809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SAN ANTONIO 1870-A",
            "address_2": "INTERNATIONAL MANAGE CARE SERVICES",
            "city": "PARODA 26 SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-726-9620",
            "fax_number": "787-726-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN ANTONIO 1870-A",
            "address_2": "IMCS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-726-9620",
            "fax_number": "787-726-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LUZ",
        "middle_name": "MINERVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "008672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.