Individual provider Active NPI

Jorge Arturo Santana, M.D.

  • General Practice Physician
  • Sabana Seca, PR
National Provider Identifier
1366656969
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9466 Issued in PR
Practice address
Via Girasoles Mansion del Sol
MS1
Sabana Seca, PR 00952
Phone
(787) 784-0624
Fax
(787) 784-0624
NPI assigned
May 10, 2007
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 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 9466 PR Primary

Addresses

Primary practice location

Via Girasoles Mansion del Sol
MS1
Sabana Seca, PR 00952

Mailing address

Via Girasoles Mansion del Sol
MS1
Sabana Seca, PR 00952
Phone (787) 784-0624

Other identifiers 1

IdentifierTypeStateIssuer
9466OtherPRLIC PR

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
I20080527000379 PR Practitioner - General Practice 9638248073 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9466PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Catano Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1366656969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA GIRASOLES MANSION DEL SOL",
            "address_2": "MS1",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-784-0624",
            "fax_number": "787-784-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA GIRASOLES MANSION DEL SOL",
            "address_2": "MS1",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-784-0624",
            "fax_number": "787-784-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "JORGE",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PR",
            "identifier": "9466",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Seca, PR

Sources for this page

Verify at the official NPI Registry.