MEDICARE: SONIA M SANTINI-OLIVIERI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2416	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0970	OTHER		INTERNATIONAL MEDICAL CAR
2	2416	OTHER		MAPFRE
3	2416	OTHER		TRICARE
4	2416	OTHER		CIGNA
5	06400017	OTHER		HUMANA INS
6	91816SA	OTHER	PR	SEGUROS DE SERVICIOS DE S
7	4102416	OTHER		UNION INDEPENDIENTE AUTEN
8	M00134	OTHER		SALUD HOSPITAL GENERAL ME
9	062641	OTHER		CRUZ AZUL DE PR
10	2416	OTHER		COSVIMED

General Provider Information

NPI Number	:	1679562912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA M SANTINI-OLIVIERI MD

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

Provider Business Practice Location Address
First Line	:	6 CALLE WILLIE ROSARIO
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-3250
Country	:	US
Telephone Number	:	787-825-1056
Fax Number	:	787-825-1056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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Directions to “ SONIA M SANTINI-OLIVIERI MD” Practice Location

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