Individual provider Active NPI

Andrea Santana, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1689662371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11233 Issued in PR
Practice address
550 Sergio Cuevas Bustamante
Emergency Room
San Juan, PR 00918
Phone
(787) 753-7123
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11233 PR Primary

Addresses

Primary practice location

550 Sergio Cuevas Bustamante
Emergency Room
San Juan, PR 00918

Mailing address

321 Calle Grus
Parque de Isla Verde
Carolina, PR 00979-1384
Phone (787) 253-1029

Other identifiers 5

IdentifierTypeStateIssuer
BS3743918OtherPRLIC. NARCTICOS FEDERAL
DM10822-5OtherLIC. NARCOTICO ESTATAL
11233OtherPRLICENCIA ESTATAL
BS3743918OtherPRLIC. NARCOTICO FEDERAL
DM10822-5OtherPRLIC. NARCTICOS ESTATAL

Other names 1

  • Dr. Andrea Santana Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000824 PR Practitioner - General Practice 0446296008 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion Hospital del Maestro Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689662371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CALLE GRUS",
            "address_2": "PARQUE DE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791384",
            "telephone_number": "787-253-1029",
            "fax_number": "787-253-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SERGIO CUEVAS BUSTAMANTE",
            "address_2": "EMERGENCY ROOM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-753-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. NARCTICOS FEDERAL",
            "identifier": "BS3743918",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. NARCOTICO ESTATAL",
            "identifier": "DM10822-5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA ESTATAL",
            "identifier": "11233",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. NARCOTICO FEDERAL",
            "identifier": "BS3743918",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. NARCTICOS ESTATAL",
            "identifier": "DM10822-5",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SANTANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.