Active NPI
Pedro Santiago Rodriguez, M.D.
- Cardiovascular Disease Physician
- Ponce, PR
National Provider Identifier
1083007264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 19920
- Practice address
- 2431 Blvd Luis a Ferre Edificio Porrata Pila Ste 101
Ponce, PR 00717-2114 - Phone
- (787) 651-4514
- NPI assigned
- Mar 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19920 | PR | |
| Cardiovascular Disease Physician | 207RC0000X | 19920 | PR | Primary |
Addresses
Primary practice location
2431 Blvd Luis a Ferre Edificio Porrata Pila Ste 101
Ponce, PR 00717-2114
Mailing address
2431 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-2114
Phone (787) 651-4514
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 |
|---|---|---|---|---|
| I20200406000273 | PR | Practitioner - Cardiovascular Disease (Cardiology) | 4688985997 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2431 Blvd Luis a Ferre
Ponce, PR 00717-2113
Phone (787) 651-5859
Hospital & facility affiliations
- Hospital Metropolitano Dr Pila Home Care
- Hospital Metropolitano Dr Pila
- Hospital Pavia Yauco
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Auxilio Mutuo | Past | Accepting new patients | |
| Metro Ponce Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1184066144
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1720306343
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ponce, PR
- NPI 1134435431
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1720306343
-
- Psychiatric/Mental Health Registered Nurse
- Ponce, PR
- NPI 1386281053
Hospital
-
- General Acute Care Hospital
- Yauco, PR
- NPI 1760475388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1083007264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 BLVD LUIS A FERRE STE 101",
"city": "PONCE",
"state": "PR",
"postal_code": "007172114",
"telephone_number": "787-651-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 BLVD LUIS A FERRE EDIFICIO PORRATA PILA STE 101",
"city": "PONCE",
"state": "PR",
"postal_code": "007172114",
"telephone_number": "787-651-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO RODRIGUEZ",
"first_name": "PEDRO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2023-02-28",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "19920",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "19920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Santos Manuel Santiago Pabon, MD
- Alexandra Marie Santiago Rivera
- Glorimar Santiago Rivera
- Alejandro Emmanuel Santiago Rodriguez
- Jenniffer Maria Santiago Rodriguez, MD
- Ricardo Aleksey Santiago Ruberte
- Natasha Nicole Santiago Santos, MD
- Karla Santiago Soltero
- Leslie M Santiago Tirado
- Teresa Santiago Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.