Individual provider Active NPI

Edgardo Javier Santiago Rodriguez

  • School Registered Nurse
  • Bayamon, PR
National Provider Identifier
1497394399
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
9525127 Issued in FL
Practice address
Urb Royal Gardens Calle Blanca C 10
Bayamon, PR 00957-2513
Phone
(787) 600-0272
NPI assigned
Dec 26, 2019
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 9525127 FL Primary

Addresses

Primary practice location

Urb Royal Gardens Calle Blanca C 10
Bayamon, PR 00957-2513

Mailing address

Urb Royal Gardens Calle Blanca C 10
Bayamon, PR 00957-2513
Phone (787) 600-0272

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Carolina

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9525127FLMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1497394399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ROYAL GARDENS CALLE BLANCA C 10",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572513",
            "telephone_number": "787-600-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ROYAL GARDENS CALLE BLANCA C 10",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572513",
            "telephone_number": "787-600-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "EDGARDO",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "9525127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carolina",
            "affiliation": "N",
            "address_1": "Urb Royal Gardens Calle Blanca C 10",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009572513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.