Organization Active NPI

Antonsanti Physicians Group

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1639520992
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15805 Issued in PR
Legal business name
ANTONSANTI PHYSICIANS GROUP
Practice address
Carretera 132 KM 24.3
Suite 101
Ponce, PR 00728
Phone
(787) 651-6876
Fax
(787) 651-6897
NPI assigned
Jun 28, 2016
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Daina I Antonsanti, M.DNPI 1982779807
Title
President
Phone
(787) 613-9873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 15805 PR Primary

Addresses

Primary practice location

Carretera 132 KM 24.3
Suite 101
Ponce, PR 00728

Mailing address

1820 Calle Covadonga
Urb la Rambla
Ponce, PR 00730-4077
Phone (787) 613-9873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430003089 PR Part B Supplier - Clinic/Group Practice 2365784931 Receives reassigned benefits from 2 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1639520992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CALLE COVADONGA",
            "address_2": "URB LA RAMBLA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304077",
            "telephone_number": "787-613-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 132 KM 24.3",
            "address_2": "SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-651-6876",
            "fax_number": "787-651-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONSANTI PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "ANTONSANTI",
        "authorized_official_first_name": "DAINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-613-9873",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.