Sebastian Infanzon Santos, MD
Individual provider Active NPI General Practice Physician · Aguadilla, PR
NPI 1992772495 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1992772495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 8127 (PR)
- Practice address
- Carr. 110 KM 9.8 Office 1
Aguadilla, PR 00604-0046 - Phone
- (787) 890-1502
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141121001832 | PR | Practitioner - General Practice | 8527380823 |
Reassigns benefits to 1 organization Practice locations: Arecibo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Puerto Rico, P.S.C | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8127 | PR | Yes |
Addresses
Primary practice location
Carr. 110 KM 9.8 Office 1
Aguadilla, PR 00604-0046
Mailing address
PO Box 250046
Aguadilla, PR 00604-0046
Phone (787) 890-1502
Other providers in Aguadilla, PR
- Hospital Comunitario Buen Samaritano Inc
- Hospital Comunitario Buen Samaritano Inc
- Hospital Comunitario Buen Samaritano Inc
- HR Ambulance Service Corp
- Imaging & Radiology Advocates PSC
- Insight Management Group Inc
- Insight Reading Group-Aguadilla
- Instituto Ginecologico del Oeste CRL
- Integramed LLC
- Integrate Community Health System
All providers in Aguadilla, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.