Organization Active NPI

Vitamed LLC

  • General Practice Physician
  • Gurabo, PR
National Provider Identifier
1679208961
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VITAMED LLC
Practice address
Calle Santiago
Norte #63 Norte
Gurabo, PR 00778-4070
Phone
(787) 991-5730
Fax
(787) 991-5718
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jose J Martinez Santana, MDNPI 1063643948
Title
President
Phone
(787) 243-2129

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 Primary

Addresses

Primary practice location

Calle Santiago
Norte #63 Norte
Gurabo, PR 00778-4070

Mailing address

Calle Santiago
#63 Norte
Gurabo, PR 00778-9998
Phone (787) 991-5730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907000214 PR Part B Supplier - Clinic/Group Practice 4688058894 Receives reassigned benefits from 1 practitioner
Practice locations: Gurabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1679208961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SANTIAGO",
            "address_2": "#63 NORTE",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789998",
            "telephone_number": "787-991-5730",
            "fax_number": "787-991-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTIAGO",
            "address_2": "NORTE #63 NORTE",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784070",
            "telephone_number": "787-991-5730",
            "fax_number": "787-991-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ SANTANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-243-2129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.