Maria de Los Angeles Santana Lebron

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MARIA DE LOS ANGELES SANTANA LEBRON

Practice address

1 Calle Aduana
Punta Santiago, PR 00741-2401

Phone

(787) 852-8545

Fax

(787) 852-8545

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Maria de Los A Santana, MT

Title

Director

Phone

(787) 852-8545

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Punta Santiago Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1477543197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931",
            "address_2": "PUNTA SANTIAGO",
            "city": "PUNTA SANTIAGO",
            "state": "PR",
            "postal_code": "007410931",
            "telephone_number": "787-852-8545",
            "fax_number": "787-852-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE ADUANA",
            "city": "PUNTA SANTIAGO",
            "state": "PR",
            "postal_code": "007412401",
            "telephone_number": "787-852-8545",
            "fax_number": "787-852-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA DE LOS ANGELES SANTANA LEBRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "MARIA DE LOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-852-8545",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Punta Santiago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Cordero
• Angelo Fernandez-Sosa, DMD
• Maria A. Hernandez, M.D
• Xiomara Maldonado Escobar, MD
• Sams Club #6515

• All providers in Punta Santiago, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.