Gabriela Nicolle Santiago Rodriguez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3334 Issued in PR

Practice address

686 St, Villa Real
1 A-1
Vega Baja, PR 00693

Phone

(787) 858-5155

NPI assigned

Oct 9, 2019

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Radiology Clinic/Center
  • Naranjito, PR
  • NPI 1861973182
  NPD
• Salud Integral En la Montana, Inc.

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1063054385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1032",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921032",
            "telephone_number": "787-412-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 ST, VILLA REAL",
            "address_2": "1 A-1",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "GABRIELA",
        "middle_name": "NICOLLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafaela Sanchez
• Elizabeth Sanjurjo, MD
• Maria Elena Flores Santana, SLP
• Crystalee Santiago Aviles, LND
• Juan Luis Santiago Cordero, PHARMD
• Wanda L. Santiago-Perez, RPH
• Gladys Santiago-Torres, RPH
• Eneisha I Santiago-Velez, PHARM D
• Johalys Marie Santiago
• Rose M Santiago

• Dentist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.