Active NPI
Andrea Santana, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1689662371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11233
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BS3743918 | Other | PR | LIC. NARCTICOS FEDERAL |
| DM10822-5 | Other | LIC. NARCOTICO ESTATAL | |
| 11233 | Other | PR | LICENCIA ESTATAL |
| BS3743918 | Other | PR | LIC. NARCOTICO FEDERAL |
| DM10822-5 | Other | PR | LIC. NARCTICOS ESTATAL |
Other names 1
- Dr. Andrea Santana
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
dba Hospital del Maestro
- General Acute Care Hospital
- San Juan, PR
- NPI 1750385571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.