Individual provider Active NPI

Ibsen Perez Santini, MD

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1619974250
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13848 Issued in PR
Practice address
100 Calle del Muelle
Capitolio Plaza Suite 501
San Juan, PR 00901-2616
Phone
(787) 289-2222
Fax
(787) 289-2222
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13848 PR Primary

Addresses

Primary practice location

100 Calle del Muelle
Capitolio Plaza Suite 501
San Juan, PR 00901-2616

Mailing address

100 Calle del Muelle
Capitolio Plaza Suite 501
San Juan, PR 00901-2616
Phone (787) 289-2222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000000 PR Practitioner - Anesthesiology 7719890268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GRH Anesthesia Group, PSCGroup PAC ID 9234179029, 10 clinicians

Practice addresses (Care Compare)

100 Calle del Muelle
Suite 501 Capitolio Plaza
San Juan, PR 00901-2616
Phone (787) 247-6984

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Ofic 704
San Juan, PR 00917-5029

Cont Torre Auxilio Mutuo Ofc
704 735 Ave Ponce de Leon
San Juan, PR 00917-5029

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40460TXMDPharmacist
13848PRMDAnesthesiology Physician

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1619974250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "CAPITOLIO PLAZA SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012616",
            "telephone_number": "787-289-2222",
            "fax_number": "787-289-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "CAPITOLIO PLAZA SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012616",
            "telephone_number": "787-289-2222",
            "fax_number": "787-289-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SANTINI",
        "first_name": "IBSEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "13848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.