Individual provider Active NPI

Cosme Damian Santos Torres, M.D.

  • Specialist
  • Ponce, PR
National Provider Identifier
1851420830
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12026 Issued in PR
Practice address
3011 Ave Emilio Fagot
Villa Esparanza
Ponce, PR 00716-3637
Phone
(787) 841-8201
Fax
(787) 841-8201
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12026 PR Primary

Addresses

Primary practice location

3011 Ave Emilio Fagot
Villa Esparanza
Ponce, PR 00716-3637

Mailing address

PO Box 331990
Ponce, PR 00733-1990
Phone (787) 841-8201

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120322000393 PR Practitioner - NephrologyPractitioner - Internal Medicine 3971413840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3011 Ave Emilio Fagot
Ponce, PR 00716-3637
Phone (787) 841-8201

Hospital & facility affiliations

  • FMC Ponce Dialysis facility, Ponce, PR, CCN 402502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12026PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Y Santos Renal Medical Specialist CurrentSince Aug 15, 2017 Accepting new patients
Centro Renal del Sur Corp Specialist CurrentSince Aug 15, 2017 Accepting new patients

Locations

3011 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 841-8201

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851420830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331990",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007331990",
            "telephone_number": "787-841-8201",
            "fax_number": "787-841-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 AVE EMILIO FAGOT",
            "address_2": "VILLA ESPARANZA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163637",
            "telephone_number": "787-841-8201",
            "fax_number": "787-841-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS TORRES",
        "first_name": "COSME",
        "middle_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.