Active NPI
Hector Carlos Santiago, O.D.
- Optometrist
- Bayamon, PR
National Provider Identifier
1093199614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 139-397
- Practice address
- 500 John Will Harris
Bayamon, PR 00957-6257 - Phone
- (787) 765-1915
- Fax
- (787) 765-9854
- NPI assigned
- Jul 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 139-397 | PR | Primary |
Addresses
Primary practice location
500 John Will Harris
Bayamon, PR 00957-6257
Mailing address
500 John Will Harris
Bayamon, PR 00957-6257
Phone (787) 765-1915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139-397 | Other | PR | PR BOARD OF OPTOMETRY LICENSES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139-397 | PR | MD | Optometrist |
| 139 | PR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1093199614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JOHN WILL HARRIS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576257",
"telephone_number": "787-765-1915",
"fax_number": "787-765-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHN WILL HARRIS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576257",
"telephone_number": "787-765-1915",
"fax_number": "787-765-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "HECTOR",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "139-397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR BOARD OF OPTOMETRY LICENSES",
"identifier": "139-397",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.