Organization Active NPI

Glorimar Santos Llanos PSC

  • Pulmonary Disease Physician
  • Canovanas, PR
National Provider Identifier
1982843652
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
GLORIMAR SANTOS LLANOS PSC
Practice address
East Medical & Proffessional Center
Carretera #3 KM 19.9
Canovanas, PR 00729
Phone
(787) 256-5555
Fax
(787) 256-5555
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Glorimar Santos, MDNPI 1326144361
Title
Owner
Phone
(787) 460-5346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

East Medical & Proffessional Center
Carretera #3 KM 19.9
Canovanas, PR 00729

Mailing address

#339 Calle Flor de Nono
Urb. River Gardens
Canovanas, PR 00729
Phone (787) 460-5346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100814000004 PR Part B Supplier - Clinic/Group Practice 9032243969 Receives reassigned benefits from 1 practitioner
Practice locations: Fajardo, PR

National Provider Directory

National Provider Directory

Locations

410 Ave General Valero
Ste 304
Fajardo, PR 00738
Phone (787) 801-5325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1982843652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#339 CALLE FLOR DE NONO",
            "address_2": "URB. RIVER GARDENS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-460-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST MEDICAL & PROFFESSIONAL CENTER",
            "address_2": "CARRETERA #3 KM 19.9",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-5555",
            "fax_number": "787-256-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIMAR SANTOS LLANOS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GLORIMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-460-5346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.