Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 5477 | PR |
NPI | 1033194030 |
---|---|
Provider Name | Mr. Hamed Emilio Santaella |
First Address | Mayaguez, PR 00687 |
Second Address | Mayaguez, PR 00680 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
065472 | CUG AZUL (01) | |
213028 | UTI (01) | |
2292 | AMERICAN HEALTH (01) | |
3905477 | UAI (01) | |
4815 | FIREST MEDICAL (01) | |
7090028 | HUMANA (01) | |
97196SA | TRIPLE S (01) | |
E31474 | (02) |