Elvia Grisselle Santiago Vazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5999 Issued in PR

Practice address

Na43 Calle 415
Country Club
Carolina, PR 00982-1801

Phone

(787) 757-3491

Fax

(787) 757-3491

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospicio El Nuevo Amanecer, Inc

  • Community Based Hospice Care Agency
  • Rio Grande, PR
  • NPI 1093922163

  Contracted Managing Employee, Corporate Director

  CMS ownership

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1013933043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "O37 CALLE 3",
            "address_2": "VILLA VENECIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831518",
            "telephone_number": "787-757-3491",
            "fax_number": "787-757-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NA43 CALLE 415",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821801",
            "telephone_number": "787-757-3491",
            "fax_number": "787-757-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VAZQUEZ",
        "first_name": "ELVIA",
        "middle_name": "GRISSELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Antonio Santiago Laboy, MSW, MS
• Aileen Santiago Lopez, MS
• Irvin Joel Santiago Lugo
• Analaura Santiago Perez, MD
• Dayana Marie Santiago Tristani
• Rey Jose Santiago-Crespo, PHARMD
• Miguel A Santiago-Garcia, MD
• Angelica Santiago, M.S.
• Brenda L Santiago, S.W.
• Estebania Santiago, RN

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.