IVELISSE SANTA


Address: Rr 2 Box 7054, Manati, PR 00674-9657
Phone: 7876217558

IVELISSE SANTA (NPI# 1518155209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518155209
Entity Type Individual
Full Name IVELISSE SANTA
Credential M.D.
Practice Address Rr 2 Box 7054
Manati
PR 00674-9657
Practice Telephone 7876217558
Mailing Telephone 7876217558
Enumeration Date 2007-10-09
Last Update Date 2015-01-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 16874 PR Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
16874 PR Allopathic & Osteopathic Physicians
N 208D00000X General Practice 16874 PR Allopathic & Osteopathic Physicians

Office Location

Street Address RR 2 BOX 7054
City MANATI
State PR
Zip Code 00674-9657

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043644412 Deric Alejandro Lopez Family Medicine Carretera # 2 Km 47.7, Manati, PR 00674 2013-08-21

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City MANATI
Zip Code 00674

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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