Individual provider Active NPI

Liza M. Santana Torres, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1407890981
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15,296 Issued in PR
Practice address
Carr 2
Parque Industrial DCH
Manati, PR 00674-5765
Phone
(787) 854-0824
Fax
(787) 884-9719
NPI assigned
Jun 15, 2006
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15,296 PR Primary

Addresses

Primary practice location

Carr 2
Parque Industrial DCH
Manati, PR 00674-5765

Mailing address

3443 Calle Atlantico
Ocean Front
Vega Baja, PR 00693-6109
Phone (787) 608-4903

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
I20050630000658 PR Practitioner - Family Practice 0648216549 Practice locations: Vega Baja, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15,296PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1407890981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 CALLE ATLANTICO",
            "address_2": "OCEAN FRONT",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936109",
            "telephone_number": "787-608-4903",
            "fax_number": "787-884-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "address_2": "PARQUE INDUSTRIAL DCH",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745765",
            "telephone_number": "787-854-0824",
            "fax_number": "787-884-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA TORRES",
        "first_name": "LIZA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15,296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.