Xavier Santiago Pena, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

003489 Issued in PR

Practice address

328 Calle 22
Urb. Villa Nevarez
San Juan, PR 00927

Phone

(787) 448-3434

NPI assigned

Jan 22, 2024

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1093576647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CALLE 22",
            "address_2": "URB. VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-448-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 CALLE 22",
            "address_2": "URB. VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-448-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO PENA",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "003489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Liannette Santiago Negron, MD
• Monica Santiago Nunez, MD
• Angel David Santiago Ortiz
• Aquiria M Santiago Ortiz, PHD
• Paola Nicole Santiago Pagan
• Basilio Santiago Perez, MD
• Dwight M Santiago Perez, M.D.
• Jackeline Santiago Perez
• Annelisse Santiago Pintado, MD
• Yelitza Santiago Rios, M.D.

• Prosthodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Prosthodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
• 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.

Verify at the official NPI Registry.