Individual provider Active NPI

Raul Marquez Santiago

  • Gastroenterology Physician
  • San German, PR
National Provider Identifier
1063406643
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10595 Issued in PR
Practice address
Ave Universidad Inter #112
San German, PR 00683
Phone
(787) 264-0355
Fax
(787) 264-0355
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10595 PR Primary

Addresses

Primary practice location

Ave Universidad Inter #112
San German, PR 00683

Mailing address

Box 5000-349
San German, PUERTO RICO 00683
UM
Phone (787) 264-0355

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
I20100204000689 PR Practitioner - Gastroenterology 6608919220 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Ave Universidad Interamericana
San German, PR 00683
Phone (787) 264-0355

230 Ave Atleticos de San German
San German, PR 00683

230 Ave Los Atleticos
San German, PR 00683

Hospital & facility affiliations

  • Hospital de la Concepcion Hospital, San German, PR, CCN 400021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy384
Upper gastrointestinal (GI) endoscopy for acid reflux291

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1063406643",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BOX 5000-349",
            "city": "SAN GERMAN",
            "state": "PUERTO RICO",
            "postal_code": "00683",
            "telephone_number": "17872640355",
            "fax_number": "17872640355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE UNIVERSIDAD INTER #112",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-0355",
            "fax_number": "787-264-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ SANTIAGO",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "10595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.