Individual provider Active NPI

Teresa Y Santana, DMD

  • Dentist
  • Guaynabo, PR
National Provider Identifier
1265678635
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1319 Issued in PR
Practice address
D7 Calle Garden MDW
Garden Hills Norte
Guaynabo, PR 00966-2615
Phone
(787) 793-2438
Fax
(787) 782-4645
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1319 PR Primary

Addresses

Primary practice location

D7 Calle Garden MDW
Garden Hills Norte
Guaynabo, PR 00966-2615

Mailing address

PO Box 361965
San Juan, PR 00936-1965
Phone (787) 793-2438

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
1319PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1265678635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361965",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361965",
            "telephone_number": "787-793-2438",
            "fax_number": "787-782-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D7 CALLE GARDEN MDW",
            "address_2": "GARDEN HILLS NORTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662615",
            "telephone_number": "787-793-2438",
            "fax_number": "787-782-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "TERESA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2009; 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.