Individual ProviderLuis SantosEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550(973) 450-2000PECOS EnrollmentBased on the most recent information from CMS, provider Luis Santos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1205923869Provider TypeIndividualFull NameSantos, LuisCredentialMDGenderMaleSole ProprietorNoEnumeration Date10/6/2006Last Updated9/17/2012Contact InformationPractice LocationPractice Address1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550Phone(973) 450-2000FaxUnlisted FaxMailing LocationMailing Address17 Stepping Rdg, N Caldwell, NJ 07006-4742PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense25MA06731800New Jersey