Active NPI
Enna D Santiago, P.T.
- Physical Therapist
- Aguas Buenas, PR
National Provider Identifier
1639219603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00249
- Practice address
- Jose I Sanchez St
2
Aguas Buenas, PR 00703 - Phone
- (787) 460-4632
- Fax
- (787) 732-7512
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00249 | PR | Primary |
Addresses
Primary practice location
Jose I Sanchez St
2
Aguas Buenas, PR 00703
Mailing address
HC 2 Box 13187
Aguas Buenas, PR 00703-9688
Phone (787) 460-4632
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00249 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Rehabilitacion Terapia En Accion | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Aguas Buenas, PR
- NPI 1134361447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1639219603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 13187",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007039688",
"telephone_number": "787-460-4632",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOSE I SANCHEZ ST",
"address_2": "2",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-460-4632",
"fax_number": "787-732-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ENNA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "00249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguas Buenas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.