Active NPI
Ivette Santiago
- Attendant Care Provider
- Gurabo, PR
National Provider Identifier
1790336717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- Estancias de Gran Vista
62 Calle San Luis
Gurabo, PR 00778 - Phone
- (787) 627-9575
- NPI assigned
- Sep 20, 2019
- Last updated
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
Estancias de Gran Vista
62 Calle San Luis
Gurabo, PR 00778
Mailing address
Estancias de Gran Vista
62 Calle San Luis
Gurabo, PR 00778
Phone (787) 627-9575
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1790336717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTANCIAS DE GRAN VISTA",
"address_2": "62 CALLE SAN LUIS",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-627-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ESTANCIAS DE GRAN VISTA",
"address_2": "62 CALLE SAN LUIS",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-627-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "IVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.