Active NPI
Annette Santiago
- Pediatric Critical Care Medicine Physician
- Bayamon, PR
National Provider Identifier
1053389650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 13073
- Practice address
- I13 Calle Rio Bauta
Rio Hondo
Bayamon, PR 00961-3440 - Phone
- (787) 787-8550
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 13073 | PR | Primary |
Addresses
Primary practice location
I13 Calle Rio Bauta
Rio Hondo
Bayamon, PR 00961-3440
Mailing address
I13 Calle Rio Bauta
Rio Hondo
Bayamon, PR 00961-3440
Phone (787) 787-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81512 | Other | PR | SSS |
Other names 1
- Annette Santiago
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13073 | PR | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1053389650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "I13 CALLE RIO BAUTA",
"address_2": "RIO HONDO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613440",
"telephone_number": "787-787-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "I13 CALLE RIO BAUTA",
"address_2": "RIO HONDO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613440",
"telephone_number": "787-787-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PR",
"license": "13073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "81512",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "SANTIAGO",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.