Individual provider Active NPI

Julio Santory-Pena, M.D.

  • General Practice Physician
  • Las Piedras, PR
National Provider Identifier
1861449324
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4992 Issued in PR
Practice address
Urb Immaculada Calle 1
Casa 103
Las Piedras, PR 00771-0957
Phone
(787) 733-4261
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4992 PR Primary

Addresses

Primary practice location

Urb Immaculada Calle 1
Casa 103
Las Piedras, PR 00771-0957

Mailing address

PO Box 6152
Caguas, PR 00726-6152
Phone (787) 733-4261

Other identifiers 9

IdentifierTypeStateIssuer
D400235OtherPRMMM
063818OtherPRCRUZ AZUL
PG-2657OtherPRPALIC
2347-1OtherPRPROSSAM
1590OtherPRINTERNATIONAL
3922114OtherPRCIGNA
0010357OtherPRHUMANA
026007SAOtherPRTRIPLE S
201524OtherPRPREFERED

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
I20121024000029 PR Practitioner - General Practice 8729238969 Practice locations: Las Piedras, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1861449324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6152",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266152",
            "telephone_number": "787-733-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB IMMACULADA CALLE 1",
            "address_2": "CASA 103",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710957",
            "telephone_number": "787-733-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORY-PENA",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "D400235",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "063818",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PG-2657",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "2347-1",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL",
            "identifier": "1590",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3922114",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "0010357",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "026007SA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED",
            "identifier": "201524",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.