Individual provider Active NPI

Eileen E Santa, MD

  • Anesthesiology Physician
  • Mayaguez, PR
National Provider Identifier
1952440083
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11610 Issued in PR
Practice address
Carr 2
Bo Sabalos Centro Medico Mayaguez
Mayaguez, PR 00682-6353
Phone
(787) 360-3244
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11610 PR Primary

Addresses

Primary practice location

Carr 2
Bo Sabalos Centro Medico Mayaguez
Mayaguez, PR 00682-6353

Mailing address

PO Box 374
Cabo Rojo, PR 00623-0374
Phone (787) 360-3244

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11610PRMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1952440083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230374",
            "telephone_number": "787-360-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "address_2": "BO SABALOS CENTRO MEDICO MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-360-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA",
        "first_name": "EILEEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "11610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.