Evans Jayson Ortiz Santana, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21154 Issued in PR

Practice address

Quintas de Dorado
Boulevard B23
Dorado, PR 00646-4704

Phone

(787) 967-3195

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: evans.ortiz.santana.1@29290.direct.athenahealth.com

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.

• Lucet at Home of Puerto Rico PSC

  • Nurse Practitioner
  • San Juan, PR
  • NPI 1326909912
  Authorized official Same address or phone

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1821568155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUINTAS DE DORADO",
            "address_2": "BOULEVARD B23",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464704",
            "telephone_number": "787-967-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUINTAS DE DORADO",
            "address_2": "BOULEVARD B23",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464704",
            "telephone_number": "787-967-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ SANTANA",
        "first_name": "EVANS",
        "middle_name": "JAYSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayley M Ortega Sustache
• Priscila Ortega Vazquez
• Kineisha J Ortega, OTA/L
• Ashleymarie Ortiz Cintron
• Alexandra Marie Ortiz Javier, DMD
• Mirza I Ortiz Torres, M.D.
• Jesus Ortiz
• Sharon Lisbette Ortiz, PHD CPL
• Gilbert Otero Giboyeaux, M.S.
• Moises A. Otero Soto, M.D.

• General Practice Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.

Verify at the official NPI Registry.