Mario Santaella Medicina Interna CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARIO SANTAELLA MEDICINA INTERNA CSP

Practice address

17 Calle Baldorioty
Sabana Grande, PR 00637-0000

Phone

(787) 873-4345

Fax

(787) 873-1091

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario Santaella Maldonado, M.D.NPI 1265417497

Title

President

Phone

(787) 873-4345

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mario Santaella-Medicina Interna, C.S.P. Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Santaella Maldonado, MD

  • Internal Medicine Physician
  • Sabana Grande, PR
  • NPI 1265417497
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1285885111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831327",
            "telephone_number": "787-873-4345",
            "fax_number": "787-873-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE BALDORIOTY",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370000",
            "telephone_number": "787-873-4345",
            "fax_number": "787-873-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO SANTAELLA MEDICINA INTERNA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "SANTAELLA MALDONADO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-873-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mario Santaella-Medicina Interna, C.S.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edwin Lopez Rodriguez
• Jennifer Alyssa Lopez-Acosta, MSW
• Aida Lugo, PH
• Kalil Maloff Saied, M.D.
• Radames A. Marin Vieira, MD
• Luz Enid Martinez-Martinez, M.D.
• Midway Pharmacy
• Midway Pharmacy
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.

• Internal Medicine Physician in Sabana Grande, PR
• Providers in Sabana Grande, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.