Polly A Ruiz Santiago, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14036 Issued in PR

Practice address

20 Urb Catalana
Barceloneta, PR 00617-2774

Phone

(787) 846-5553

Fax

(787) 854-5543

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Practice roles

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.

• Aps Clinics of Puerto Rico, Inc.

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1336194448
  NPD (past)
• D'Corpo

  • Psychiatry Physician
  • Barceloneta, PR
  • NPI 1437265410

  General Practice

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023057577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 URBANIZACION CATALANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-5553",
            "fax_number": "787-854-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 URB CATALANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172774",
            "telephone_number": "787-846-5553",
            "fax_number": "787-854-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ SANTIAGO",
        "first_name": "POLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "14036",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14036",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM-14205-9",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMSA",
            "identifier": "XR7587085",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Rosado, M.D.
• Waldemar Rosano Mendez
• Jean Alexis Rosario
• Josean X Rosario
• Michelle Ruiz de Jesus
• Myrna L. Ruiz
• Morris E Rutkowski, DC
• Yariangelis Sachez
• Juan Manuel Salas Vazquez, PSY.D
• Yomara Guanina Salcedo Santiago, ED.D., CPL

• General Practice Physician in Barceloneta, PR
• Providers in Barceloneta, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.