Active NPI
Julia Y Santiago Estrada
- Nutritionist
- Ponce, PR
National Provider Identifier
1104579754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1469
- Practice address
- 909 Ave Tito Castro Ste 606
Ponce, PR 00716-4721 - Phone
- (787) 651-1463
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1469 | PR | Primary |
Addresses
Primary practice location
909 Ave Tito Castro Ste 606
Ponce, PR 00716-4721
Mailing address
909 Ave Tito Castro Ste 606
Ponce, PR 00716-4721
Phone (787) 987-8132
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 |
|---|---|---|---|
| 1469 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1104579754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO STE 606",
"city": "PONCE",
"state": "PR",
"postal_code": "007164721",
"telephone_number": "787-987-8132",
"fax_number": "787-842-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO STE 606",
"city": "PONCE",
"state": "PR",
"postal_code": "007164721",
"telephone_number": "787-651-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO ESTRADA",
"first_name": "JULIA",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Gabriela Isabel Santiago Casanova, MD STUDENT
- Jean Carlos Santiago Colon
- Keiry Nicole Santiago Colon
- Manuel Santiago Cummings, M.D.
- Sharlene Sylvette Santiago Diaz
- Nilda Santiago Garcia, M.D.
- Osvaldo Jose Santiago Gonzalez, MDFACS
- Rafael J Santiago Maldonado
- Joel Santiago Manfredy, O.D.
- Sonia Ivette Santiago Mateo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.