Individual provider Active NPI

Jose Guillermo Santini, O.D.

  • Optometrist
  • Guayama, PR
National Provider Identifier
1437194602
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
347 Issued in PR
Practice address
Urb. Green Hills
Carr.#3 Esq. Calle Girasol, Edif. 6
Guayama, PR 00783
Phone
(787) 866-1231
Fax
(787) 866-1231
NPI assigned
Jun 19, 2006
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 347 PR Primary

Addresses

Primary practice location

Urb. Green Hills
Carr.#3 Esq. Calle Girasol, Edif. 6
Guayama, PR 00783

Mailing address

P.O.Box 12
Barranquitas, PR 00794
Phone (787) 857-1437

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000675 PR Practitioner - Optometry 6406865500 Practice locations: Barranquitas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1437194602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 12",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-857-1437",
            "fax_number": "787-857-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. GREEN HILLS",
            "address_2": "CARR.#3 ESQ. CALLE GIRASOL, EDIF. 6",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-866-1231",
            "fax_number": "787-866-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTINI",
        "first_name": "JOSE",
        "middle_name": "GUILLERMO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.