Santos Emmanuel Santos Fontanez, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. His current practice location is
593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(787) 981-7040.
Santos Emmanuel Santos Fontanez is licensed to practice in Puerto Rico (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811545015.
Physician's Profile
| Full Name | Santos Emmanuel Santos Fontanez |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 593 Eddy St, Providence, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811545015
- Provider Enumeration Date: 08/30/2019
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345641361
- Enrollment ID: I20210629001159
Medical Identifiers
Medical identifiers for Santos Emmanuel Santos Fontanez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811545015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | LP05438 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Santos Emmanuel Santos Fontanez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Santos Emmanuel Santos Fontanez,
Hc 2 Box 48152,
Vega Baja, PR 00693-9678
Ph: () - | Santos Emmanuel Santos Fontanez,
593 Eddy St,
Providence, RI 02903-4923
Ph: (787) 981-7040 |
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