Active NPI
Antonsanti Physicians Group
- General Practice Physician
- Ponce, PR
National Provider Identifier
1639520992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15805
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daina I Antonsanti, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Physician
- Arecibo, PR
- NPI 1982779807
-
- General Practice Physician
- Ponce, PR
- NPI 1063691616
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.