Individual provider Active NPI

Edwin Alberto Santiago Rodriguez, CHT & CHWS

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lajas, PR
National Provider Identifier
1346004520
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
2562 Issued in SC
Practice address
Carr. 315 KM 1.0 Ave. Flamboyanes Interior Interseccio
Ave. 65 Infanteria
Lajas, PR 00647
Phone
(939) 202-3265
NPI assigned
Feb 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 2562 SC Primary

Addresses

Primary practice location

Carr. 315 KM 1.0 Ave. Flamboyanes Interior Interseccio
Ave. 65 Infanteria
Lajas, PR 00647

Mailing address

Reparto Esperanza Calle Luis Llorens Torres P23
Yauco, PR 00698
Phone (939) 202-3265

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Era Hyperbarics Solutions, LLC Current Accepting new patients

Organizations & group practices 1

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1346004520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPARTO ESPERANZA CALLE LUIS LLORENS TORRES P23",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "939-202-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 315 KM 1.0 AVE. FLAMBOYANES INTERIOR INTERSECCIO",
            "address_2": "AVE. 65 INFANTERIA",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00647",
            "telephone_number": "939-202-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "EDWIN",
        "middle_name": "ALBERTO",
        "credential": "CHT & CHWS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "SC",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.