Active NPI
Ebenezer Santiago - Sanchez
- Private Vehicle
- Santa Isabel, PR
National Provider Identifier
1851722060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 4640687
- Practice address
- Calle 13 O4
Villa Retiro
Santa Isabel, PR 00757 - Phone
- (787) 678-1829
- NPI assigned
- Dec 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4640687 | PR | |
| Private Vehicle | 347C00000X | 4640687 | PR | Primary |
Addresses
Primary practice location
Calle 13 O4
Villa Retiro
Santa Isabel, PR 00757
Mailing address
Calle 13 04
Villa Retiro
Santa Isabel, PR 00757
Phone (787) 678-1829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4640687 | PR | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1851722060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 13 04",
"address_2": "VILLA RETIRO",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-678-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 13 O4",
"address_2": "VILLA RETIRO",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-678-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO - SANCHEZ",
"first_name": "EBENEZER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "4640687",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "PR",
"license": "4640687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.