Individual provider Active NPI

Carmen Santiago

  • Registered Nurse
  • Ponce, PR
National Provider Identifier
1275840126
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28531 Issued in PR
Practice address
Ave Tito Castro Carr. 14
Centro de Tratamiento Methadone
Ponce, PR 00732
Phone
(787) 616-5787
Fax
(787) 844-4130
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 28531 PR Primary

Addresses

Primary practice location

Ave Tito Castro Carr. 14
Centro de Tratamiento Methadone
Ponce, PR 00732

Mailing address

P.O. Box 7321
Sector Correo Pampanos
Ponce, PR 00732
Phone (787) 616-5787

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
28531PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1275840126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7321",
            "address_2": "SECTOR CORREO PAMPANOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-616-5787",
            "fax_number": "787-844-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE TITO CASTRO CARR. 14",
            "address_2": "CENTRO DE TRATAMIENTO METHADONE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-616-5787",
            "fax_number": "787-844-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CARMEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "28531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.