Rommel San Juan Santos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043994 Issued in NY

Practice address

2569 Ocean Ave
Brooklyn, NY 11229-4576

Phone

(718) 332-3600

Fax

(718) 332-3856

NPI assigned

May 30, 2017

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1376071746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 57TH AVE APT 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735147",
            "telephone_number": "312-871-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294576",
            "telephone_number": "718-332-3600",
            "fax_number": "718-332-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ROMMEL",
        "middle_name": "SAN JUAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria J Santos, LCSW
• Mikhaela Johannah Evangelista Santos, PT
• Monica Therese Santos, DO
• Monina Santos
• Pamela Gail Icasiano Santos, MD
• Stephanie Cecil Santos, RN
• Suzette Castillo Santos, OTR/L
• Wilfredo Lingat Santos, M.D.
• Yesenia Santos
• Olusola O. Sanusi-Agbabiaka, MD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.