Active NPI
Wilfredo Santa Ramos, PHYSICIAN ASSISTANT
- Physician Assistant
- San Juan, PR
National Provider Identifier
1558199745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000208-P.A.
- Practice address
- 1451 Ave Dr Ashford
San Juan, PR 00907 - Phone
- (787) 721-2160
- NPI assigned
- Jul 22, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000208-P.A. | PR | Primary |
Addresses
Primary practice location
1451 Ave Dr Ashford
San Juan, PR 00907
Mailing address
PO Box 6121
Mayaguez, PR 00681-6121
Phone (407) 927-3587
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000208-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1558199745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6121",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006816121",
"telephone_number": "407-927-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 AVE DR ASHFORD",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-721-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA RAMOS",
"first_name": "WILFREDO",
"name_prefix": "Dr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000208-P.A.",
"primary": true
}
],
"identifiers": [],
"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 Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.