Manuel Antonio Santiago Rodriguez II

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11384 Issued in PR

Practice address

Calle 65 de Infanterria #48,
Apartado 213
Anasco, PR 00610

Phone

(787) 826-2597

Fax

(787) 826-0491

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1063412864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3425",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813425",
            "telephone_number": "787-826-2597",
            "fax_number": "787-826-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 65 DE INFANTERRIA #48,",
            "address_2": "APARTADO 213",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-2597",
            "fax_number": "787-826-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Ruiz, M.ED
• Amogh Sahai Hernandez, M.D.
• Salud a Tu Alcance, Inc.
• Santiago R Varela
• Santiago R Varela
• Harry Seda Vila, MD
• Tatiana Seguinot Velez, MD
• Ernesto Sepulveda, OD
• Veronica L Serrano Crespo, MA
• Servicios Medicos de Anasco

• General Practice Physician in Anasco, PR
• Providers in Anasco, 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 29, 2012; 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.