Active NPI
Gladys Enid Santos Torres, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1477735942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16942
- Practice address
- Cond Villas del Monte 6050
844 Apt. 2B8
San Juan, PR 00926 - Phone
- (787) 385-4793
- NPI assigned
- Nov 27, 2007
- Last updated
- May 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16942 | PR | Primary |
Addresses
Primary practice location
Cond Villas del Monte 6050
844 Apt. 2B8
San Juan, PR 00926
Mailing address
Cond Villas del Monte 6050
844 Box 44 Apt. 2B8
San Juan, PR 00926
Phone (787) 385-4793
Other practice location 1
3015 Carambola
Ponce, PR 00716
Phone (787) 844-6426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IE006A | Medicaid | PR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3 Calle Munoz Rivera
Caguas, PR 00725-2602
Phone (787) 286-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Caguas, PR
- NPI 1205044013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1477735942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND VILLAS DEL MONTE 6050",
"address_2": "844 BOX 44 APT. 2B8",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-385-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND VILLAS DEL MONTE 6050",
"address_2": "844 APT. 2B8",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-385-4793"
}
],
"practiceLocations": [
{
"address_1": "3015 Carambola",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00716",
"country_code": "US",
"telephone_number": "787-844-6426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS TORRES",
"first_name": "GLADYS",
"middle_name": "ENID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IE006A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.