Active NPI
Charles Juarbe Santos, M.D.
- Otolaryngology Physician
- Bayamon, PR
National Provider Identifier
1366444689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 5777
- Practice address
- 73 Edif Medico Santa Cruz
Suite 205
Bayamon, PR 00961 - Phone
- (787) 740-1120
- Fax
- (787) 269-1565
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 5777 | PR | Primary |
Addresses
Primary practice location
73 Edif Medico Santa Cruz
Suite 205
Bayamon, PR 00961
Mailing address
Edificio Medico Sta Cruz 73
Suite 205
Bayamon, PR 00961
Phone (787) 740-1120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080649 | Other | PR | MEDICARE PITAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000482 | PR | Practitioner - Otolaryngology | 0749476992 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
73 Calle Santa Cruz
Suite 205
Bayamon, PR 00961-6941
Phone (787) 740-1120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1366444689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EDIFICIO MEDICO STA CRUZ 73",
"address_2": "SUITE 205",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-1120",
"fax_number": "787-269-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 EDIF MEDICO SANTA CRUZ",
"address_2": "SUITE 205",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-1120",
"fax_number": "787-269-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUARBE SANTOS",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PR",
"license": "5777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PITAN",
"identifier": "0080649",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.