Individual provider Active NPI

Samuel Francisco Santos Tomassini, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1952585960
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16964 Issued in PR
Practice address
Ave #200 Los Chalets
Chalets de Cupey Apt #54
San Juan, PR 00926
Phone
(939) 642-8771
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 16964 PR Primary

Addresses

Primary practice location

Ave #200 Los Chalets
Chalets de Cupey Apt #54
San Juan, PR 00926

Mailing address

Ave #200 Los Chalets
Chalets de Cupey Apt #54
San Juan, PR 00926

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
I20081202000524 PR Practitioner - General Practice 3971664459 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16964PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valenta Health LLC Current Accepting new patients
CSM Servicios de Cuidado Inc. Past Accepting new patients
CRM Group Practice Past Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1952585960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE #200 LOS CHALETS",
            "address_2": "CHALETS DE CUPEY APT #54",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE #200 LOS CHALETS",
            "address_2": "CHALETS DE CUPEY APT #54",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-642-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS TOMASSINI",
        "first_name": "SAMUEL",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.