Organization Active NPI

Servicios Medicos Santiago CSP

  • Specialist
  • Arecibo, PR
National Provider Identifier
1083706956
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8096 Issued in PR
Legal business name
SERVICIOS MEDICOS SANTIAGO CSP
Practice address
50 Calle Trina Padilla de Sanz
Arecibo, PR 00612-9998
Phone
(787) 879-3978
Fax
(787) 880-3789
NPI assigned
Sep 29, 2006
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Guadalupe Santiago Santiago, M.D.NPI 1558322826
Title
Doctor
Phone
(787) 307-4734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8096 PR Primary

Addresses

Primary practice location

50 Calle Trina Padilla de Sanz
Arecibo, PR 00612-9998

Mailing address

PO Box 140662
Arecibo, PR 00614-0662
Phone (787) 879-3978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160309001915 PR Part B Supplier - Clinic/Group Practice 4082910583 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

32 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-2658

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1083706956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140662",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140662",
            "telephone_number": "787-879-3978",
            "fax_number": "787-880-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALLE TRINA PADILLA DE SANZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129998",
            "telephone_number": "787-879-3978",
            "fax_number": "787-880-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS SANTIAGO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-307-4734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "8096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.