Active NPI
Raul Marquez Santiago
- Gastroenterology Physician
- San German, PR
National Provider Identifier
1063406643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 10595
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 384 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 291 |
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.
-
- General Acute Care Hospital
- San German, PR
- NPI 1366484594
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.