Santos Emmanuel Santos Fontanez, - Medicare Student in an Organized Health Care Education/Training Program in Providence, RI

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.

Contact Information

Santos Emmanuel Santos Fontanez,
593 Eddy St,
Providence, RI 02903-4923
(787) 981-7040
Not Available



Physician's Profile

Full NameSantos Emmanuel Santos Fontanez
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1811545015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery LP05438 (Rhode Island)Secondary
390200000XStudent 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 AddressPractice 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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