Pedro D Santiago Gutierrez

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

6102756 Issued in PR

Legal business name

PEDRO D SANTIAGO GUTIERREZ

Practice address

Calle Los Robles 643
Urb Canas Housing
Ponce, PR 00728

Phone

(787) 505-3560

NPI assigned

Oct 15, 2013

Last updated

Oct 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pedro D Santiago

Title

Dueno

Phone

(787) 505-3570

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David Medical Transport Other name

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1578991378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CAMARON #2174",
            "address_2": "VILLA PAMPANOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-505-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LOS ROBLES 643",
            "address_2": "URB CANAS HOUSING",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-505-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO D SANTIAGO GUTIERREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-505-3570"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PR",
            "license": "6102756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PARAMEDICO",
            "identifier": "1376",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Medical Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pauli's Development Center LLC
• Pax de Puerto Rico Inc.
• PCS Pharmacy Inc
• PDP Health Management, Inc.
• Pediatrix Medical Group, S.P.
• Iris M. Pedrogo, M.S.
• Manuel Alberto Pellicier Mercucci, M.D.
• Fabianna Pellicier Rodriguez
• Karolina Isabel Pellot
• Tirso T Pena Cardenas

• Non-emergency Medical Transport (VAN) in Ponce, PR
• Providers in Ponce, PR by specialty
• Non-emergency Medical Transport (VAN) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.