Individual provider Active NPI

Lesliane Enid Castro-Santana, M.D.

  • Rheumatology Physician
  • Humacao, PR
National Provider Identifier
1376749077
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
17186 Issued in PR
Practice address
3 Calle Font Martelo E
Clinica de Especialidades
Humacao, PR 00791-3617
Phone
(787) 656-2424
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 17186 PR Primary

Addresses

Primary practice location

3 Calle Font Martelo E
Clinica de Especialidades
Humacao, PR 00791-3617

Mailing address

48 Calle Rey Juan Carlos
Campo Real
Las Piedras, PR 00771-3442
Phone (787) 627-9826

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
I20110413000496 PR Practitioner - Rheumatology 4385828599 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Calle Font Martelo E
Humacao, PR 00791-3617

Ave Font Martelo Num
Suite 3
Humacao, PR 00792-0699
Phone (787) 656-2424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17186PRMDRheumatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1376749077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CALLE REY JUAN CARLOS",
            "address_2": "CAMPO REAL",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713442",
            "telephone_number": "787-627-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE FONT MARTELO E",
            "address_2": "CLINICA DE ESPECIALIDADES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913617",
            "telephone_number": "787-656-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-SANTANA",
        "first_name": "LESLIANE",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "17186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.