Organization Active NPI

Luis G Santiago Balbes

  • Land Ambulance
  • Juana Diaz, PR
National Provider Identifier
1821600230
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120815000307 PR Part B Supplier - Ambulance Service Supplier 6002062619 Practice locations: Juana Diaz, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.