Active NPI
Milton Hernandez Santiago
- Sports Physician Chiropractor
- Fajardo, PR
National Provider Identifier
1467490706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 316
- Practice address
- Avenida Principal E3
Urb Baralt
Fajardo, PR 00738 - Phone
- (787) 863-2942
- Fax
- (787) 860-6459
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 316 | PR | Primary |
Addresses
Primary practice location
Avenida Principal E3
Urb Baralt
Fajardo, PR 00738
Mailing address
PO Box 70012
PMB 1165
Fajardo, PR 00738-7012
Phone (787) 863-2942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061020000372 | PR | Practitioner - Chiropractic | 6305842097 | Practice locations: Fajardo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
E3 Calle Principal
Fajardo, PR 00738-3762
Phone (787) 863-2942
Urb Baralt
Ave Principal E 3
Fajardo, PR 00738-3762
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Chiropractic, PSC | Sports Physician | Past | Accepting new patients |
| Clinica Quiropractica Atletica Y Regenerativa LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fajardo, PR
- NPI 1578490389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1467490706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70012",
"address_2": "PMB 1165",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007387012",
"telephone_number": "787-863-2942",
"fax_number": "787-860-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA PRINCIPAL E3",
"address_2": "URB BARALT",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-2942",
"fax_number": "787-860-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ SANTIAGO",
"first_name": "MILTON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "PR",
"license": "316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.