Edisson Santiago Sr., TEM

Primary specialty

AmbulanceTaxonomy code 341600000X

License

TCAMB407 Issued in PR

Practice address

Camuy Arriba
Street 119 KM 11.1 Int
Camuy, PR 00627-0000

Phone

(787) 898-0698

Fax

(787) 820-3198

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1629099494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141316",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141316",
            "telephone_number": "787-898-0698",
            "fax_number": "787-820-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMUY ARRIBA",
            "address_2": "STREET 119 KM 11.1 INT",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270000",
            "telephone_number": "787-898-0698",
            "fax_number": "787-820-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "EDISSON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "TEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": "TCAMB407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57984",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Jose Primary Medicine Inc
• Natalie Sanchez, SLP
• Marylouise Santiago Roman
• Angelita Ivelisse Santiago
• Doriluz Amador Santiago, PHARMD
• Pura Santiago
• Melvin Marcel Santoni-Crespo, M.D.
• Noel Santos Montes, M.D.
• Deborah N Santos Sierra, MD
• Nitza I Sepulveda

• Ambulance in Camuy, PR
• Providers in Camuy, PR by specialty
• Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.