Individual provider Active NPI

Sandra J. Somohano, M.D

  • Pediatric Critical Care Medicine Physician
  • San Juan, PR
National Provider Identifier
1720191471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
8534 Issued in PR
Practice address
Calle San Jorge # 252 San Jorge Medical Office
Suite 406
San Juan, PR 00912
Phone
(787) 726-0210
Fax
(787) 728-5136
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 8534 PR Primary

Addresses

Primary practice location

Calle San Jorge # 252 San Jorge Medical Office
Suite 406
San Juan, PR 00912

Mailing address

PMB 456
89 De Diego Avenue, Suite 105
Rio Piedras, PR 00927-6346
Phone (787) 726-0210

Other identifiers 1

IdentifierTypeStateIssuer
8-1931OtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8534PRMDPediatric Critical Care Medicine Physician

Interoperability endpoints

  • Direct secure messaging: sjcssomoh@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720191471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 456",
            "address_2": "89 DE DIEGO AVENUE, SUITE 105",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009276346",
            "telephone_number": "787-726-0210",
            "fax_number": "787-728-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN JORGE # 252 SAN JORGE MEDICAL OFFICE",
            "address_2": "SUITE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-726-0210",
            "fax_number": "787-728-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOHANO",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PR",
            "license": "8534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "8-1931",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.