Susan Marie Santana Moreno

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1949 Issued in PR

Practice address

406 Calle Roble
Urb. Colinas de Juncos
Juncos, PR 00777

Phone

(787) 486-3930

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eduka Corp

  • Rehabilitation Clinic/Center
  • Juncos, PR
  • NPI 1710345772
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1851618490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CALLE ROBLE",
            "address_2": "URB. COLINAS DE JUNCOS",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-486-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CALLE ROBLE",
            "address_2": "URB. COLINAS DE JUNCOS",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-486-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA MORENO",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "6073",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saira Santiago
• Paola Janlee Salabarria Torres
• Irada Salabarria-Pena, MSW
• Sonia Noemi Sanchez Toledo, PHARM D
• Enid Sandoval
• Yesenia Santana, PSICOLOGA
• Kiara Melissa Santiago Fidalgo
• Amarilys Santiago, LIC 3078
• Saira Santiago, RN
• Emmanuel Santos, MD

• Physical Therapy Assistant in Juncos, PR
• Providers in Juncos, PR by specialty
• Physical Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.