Individual provider Active NPI

Jose Antonio Cortes Santiago Sr., M.D

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1003993536
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9062 Issued in PR
Practice address
80 Calle Nuevo Londres
Utuado, PR 00641-2719
Phone
(787) 894-6136
NPI assigned
Nov 1, 2006
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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 9062 PR Primary

Addresses

Primary practice location

80 Calle Nuevo Londres
Utuado, PR 00641-2719

Mailing address

PO Box 1836
Utuado, PR 00641-1836
Phone (787) 894-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000209 PR Practitioner - General Practice 7911156575 Practice locations: Utuado, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9062PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Servios Medicos Privados de Utuado Inc General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1003993536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1836",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006411836",
            "telephone_number": "787-894-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CALLE NUEVO LONDRES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412719",
            "telephone_number": "787-894-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.