Active NPI
Iliana Cruz Santiago
- Radiologic Technologist
- Patillas, PR
National Provider Identifier
1285009563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 4397
- Practice address
- 99 Calle Guillermo Riefkohl
Patillas, PR 00723 - Phone
- (787) 839-4320
- Fax
- (787) 271-0004
- NPI assigned
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 4397 | PR | Primary |
Addresses
Primary practice location
99 Calle Guillermo Riefkohl
Patillas, PR 00723
Mailing address
99 Calle Guillermo Riefkohl
Patillas, PR 00723
Phone (787) 839-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4397 | Other | PR | 4397 |
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 |
|---|---|---|---|
| 4397 | PR | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1285009563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKOHL",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKOHL",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ SANTIAGO",
"first_name": "ILIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "PR",
"license": "4397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "4397",
"identifier": "4397",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.