Active NPI
Roberto R Fred Santana, MD FACC
- Cardiovascular Disease Physician
- Rio Grande, PR
National Provider Identifier
1962506584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 6898
- Practice address
- Agustin Perez Andino J-1
Villas de Rio Grande
Rio Grande, PR 00745 - Phone
- (787) 887-8765
- Fax
- (787) 888-2080
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6898 | PR | |
| Cardiovascular Disease Physician | 207RC0000X | 6898 | PR | Primary |
Addresses
Primary practice location
Agustin Perez Andino J-1
Villas de Rio Grande
Rio Grande, PR 00745
Mailing address
PO Box 2250
Rio Grande, PR 00745-2239
Phone (787) 887-8765
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4758 | Other | PR | FIRST MEDICAL |
| 7450025 | Other | PR | HUMANA |
| 29063 | Other | PR | TRIPLE S |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120220000875 | PR | Practitioner - Cardiovascular Disease (Cardiology) | 5294913851 | Practice locations: Carolina, PR; Rio Grande, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Puerto Rico School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Ave Fragoso 4a
S3 Villa Fontana
Carolina, PR 00984
Phone (787) 768-1420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6898 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Internal Medicine | Past | Accepting new patients |
| Centro Cardiovascular de Carolina | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Carolina, PR
- NPI 1023032661
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1467524967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1962506584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2250",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452239",
"telephone_number": "787-887-8765",
"fax_number": "787-888-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AGUSTIN PEREZ ANDINO J-1",
"address_2": "VILLAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-887-8765",
"fax_number": "787-888-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRED SANTANA",
"first_name": "ROBERTO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "6898",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "6898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "4758",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7450025",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "29063",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.