1679562912 NPI number — SONIA M SANTINI-OLIVIERI MD

Table of content: SONIA M SANTINI-OLIVIERI MD (NPI 1679562912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679562912 NPI number — SONIA M SANTINI-OLIVIERI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANTINI-OLIVIERI
Provider First Name:
SONIA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679562912
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1918
Provider Second Line Business Mailing Address:
6 WILLIE ROSARIO STREET
Provider Business Mailing Address City Name:
COAMO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00769-1918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-825-1056
Provider Business Mailing Address Fax Number:
787-825-1056

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 CALLE WILLIE ROSARIO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COAMO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00769-3250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-825-1056
Provider Business Practice Location Address Fax Number:
787-825-1056
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  2416 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0970 . This is a "INTERNATIONAL MEDICAL CAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2416 . This is a "MAPFRE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2416 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2416 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06400017 . This is a "HUMANA INS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 91816SA . This is a "SEGUROS DE SERVICIOS DE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4102416 . This is a "UNION INDEPENDIENTE AUTEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: M00134 . This is a "SALUD HOSPITAL GENERAL ME" identifier . This identifiers is of the category "OTHER".
  • Identifier: 062641 . This is a "CRUZ AZUL DE PR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2416 . This is a "COSVIMED" identifier . This identifiers is of the category "OTHER".




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