Ismael Santiago Soto

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22217 Issued in PR

Practice address

10 Calle Casia
San Juan, PR 00921-3200

Phone

(787) 641-7582

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• West Coast Primary Care & Psychiatry Services LLC

  • Mental Health Counselor
  • Isabela, PR
  • NPI 1154128544
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1063928133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 2 Km 141.1",
            "address_2": "Hospital Buen Samaritano",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000 x1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO SOTO",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD",
            "identifier": "14641-I",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD",
            "identifier": "22217",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin D Santiago Rodriguez, MPSY
• Laura Denisse Santiago Rodriguez
• Raiza Migdelys Santiago Rosario, PHARMD
• Michelangelo Santiago Sanchez, M.D.
• Octavio Santiago Santana, M.D.
• Gretcher Santiago Vazquez
• Naidymar Santiago Vega
• Jonathan Joel Santiago-Acevedo, DC
• Gerardo Luis Santiago-Alicea, MD
• Edmarie Santiago-Aponte, PHARMD

• Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.