NPIMap

Individual provider Active NPI

Aida M Lizasoain Santiago, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1003955501
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12922 Issued in PR
Practice address
1056 Calle Ferrocarril
Suite 1
Rio Piedras, PR 00925-3028
Phone
(787) 764-8937
Fax
(787) 767-4763
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12922 PR Primary

Addresses

Primary practice location

1056 Calle Ferrocarril
Suite 1
Rio Piedras, PR 00925-3028

Mailing address

1056 Calle Ferrocarril
Suite 1
Rio Piedras, PR 00925-3028
Phone (787) 764-8937

Other identifiers 5

IdentifierTypeStateIssuer
500360EOtherPRMMM
20136OtherPRSSS
03220OtherPRAMERICAN HEALTH
0012589OtherPRHUMANA
5884OtherPRIMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medlar Medical Services C S P Past Accepting new patients
Policlinica Rio Piedras General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1003955501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CALLE FERROCARRIL",
            "address_2": "SUITE 1",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253028",
            "telephone_number": "787-764-8937",
            "fax_number": "787-767-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CALLE FERROCARRIL",
            "address_2": "SUITE 1",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253028",
            "telephone_number": "787-764-8937",
            "fax_number": "787-767-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZASOAIN SANTIAGO",
        "first_name": "AIDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500360E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "20136",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "03220",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "0012589",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "5884",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.