Individual provider Active NPI

Cloriam Santana, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1316354749
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18,830. Issued in PR
Practice address
#18 Calle Dr. Ramon Emeterio Betances,
Norte Mayaguez, Hosp. San Antonio,
Mayaguez, PR 00680
Phone
(787) 834-0050
Fax
(787) 834-2104
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18,830. PR Primary

Addresses

Primary practice location

#18 Calle Dr. Ramon Emeterio Betances,
Norte Mayaguez, Hosp. San Antonio,
Mayaguez, PR 00680

Mailing address

Ax11 Calle Hermosillo
San Juan, PR 00926-4696
Phone (787) 669-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310002343 PR Practitioner - General Practice 2769708759 Reassigns benefits to 2 organizations
Practice locations: Catano, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18,830.PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Empresas de Salud de San Juan, Inc CurrentSince Mar 18, 2017 Accepting new patients
Grupo de Empresas de Salud de San Juan, Inc CurrentSince Mar 18, 2017 Accepting new patients
Physician H.M.O. Inc. CurrentSince Mar 18, 2017 Accepting new patients

Locations

107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1316354749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AX11 CALLE HERMOSILLO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264696",
            "telephone_number": "787-669-1254",
            "fax_number": "787-755-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#18 CALLE DR. RAMON EMETERIO BETANCES,",
            "address_2": "NORTE MAYAGUEZ, HOSP. SAN ANTONIO,",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-0050",
            "fax_number": "787-834-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "CLORIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18,830.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.