Santa Andino-Vergara, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17811 Issued in PR

Practice address

566-B Calle Juan J. Jimenez
San Juan, PR 00918

Phone

(787) 764-9974

NPI assigned

Jan 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1508197492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CALLE SAN LUIS",
            "address_2": "ESTANCIAS DE GRAN VISTA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785094",
            "telephone_number": "787-764-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566-B CALLE JUAN J. JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-764-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO-VERGARA",
        "first_name": "SANTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neyssa Marina Andino Penaloza
• Andres Raul Andino Serrano, M.PSY
• Clarimary Andino Sierra, MSW
• Josue Daniel Andino Vega
• Yarik Sarie Andino-Benitez, MSW
• Johann Andino, RPH
• Marjorie Andino, MSW
• Monica Z Andino, RPH
• Violeta Andino, PT
• Andrea's Medical Group P.S.C.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.