Active NPI
Carmen I Santaella, MD
- Legal Medicine
- San Juan, PR
National Provider Identifier
1306043781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 5658
- Practice address
- Ponce de Leon 1409
Piso 7
San Juan, PR 00936 - Phone
- (787) 960-6818
- NPI assigned
- Jun 29, 2007
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 5658 | PR | Primary |
Addresses
Primary practice location
Ponce de Leon 1409
Piso 7
San Juan, PR 00936
Mailing address
PO Box 51562
Levittown Sta
Toa Baja, PR 00950-1562
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5658 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306043781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51562",
"address_2": "LEVITTOWN STA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PONCE DE LEON 1409",
"address_2": "PISO 7",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-960-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTAELLA",
"first_name": "CARMEN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "PR",
"license": "5658",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.