Active NPI
Luis G Santiago Balbes
- Land Ambulance
- Juana Diaz, PR
National Provider Identifier
1821600230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LUIS G SANTIAGO BALBES
- Practice address
- 6 Calle la Cruz
Juana Diaz, PR 00795-2430 - Phone
- (787) 432-4569
- NPI assigned
- Aug 18, 2020
- Last updated
- Sep 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis G Santiago
- Title
- President
- Phone
- (787) 432-4569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
6 Calle la Cruz
Juana Diaz, PR 00795-2430
Mailing address
Urb Hacienda Concordia
11077 Calle Geranio
Santa Isabel, PR 00757
Phone (787) 432-4569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120815000307 | PR | Part B Supplier - Ambulance Service Supplier | 6002062619 | Practice locations: Juana Diaz, PR |
National Provider Directory
National Provider DirectoryLocations
6 Calle La Cruz
Juana Diaz, PR 00795
Phone (787) 837-2265
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599523200000",
"number": "1821600230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB HACIENDA CONCORDIA",
"address_2": "11077 CALLE GERANIO",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-432-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CALLE LA CRUZ",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007952430",
"telephone_number": "787-432-4569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS G SANTIAGO BALBES",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2020-09-08",
"certification_date": "2020-08-25",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-432-4569"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.