Individual provider Active NPI

Nilda Santiago Garcia, M.D.

  • Specialist
  • Ponce, PR
National Provider Identifier
1104822949
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207R00000X Issued in PR
Practice address
471 Ave. Ferrocarril
Suite #17
Ponce, PR 00717
Phone
(787) 259-8212
Fax
(787) 848-7979
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 207R00000X PR Primary

Addresses

Primary practice location

471 Ave. Ferrocarril
Suite #17
Ponce, PR 00717

Mailing address

471 Ave. Ferrocarril
Suite 135
Ponce, PR 00717
Phone (787) 259-8212

Other identifiers 1

IdentifierTypeStateIssuer
13174OtherPRLICENCE DOCTOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000260 PR Practitioner - Internal Medicine 2769518927 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207R00000XPRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Endoscopy Center PSC CurrentSince Sep 27, 2013 Accepting new patients
Ar Institute of Gastroenterology P S C Specialist CurrentSince Aug 6, 2009 Accepting new patients

Locations

2225 Ponce Byp
Ste 806
Ponce, PR 00717
Phone (787) 259-8212

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1104822949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 AVE. FERROCARRIL",
            "address_2": "SUITE 135",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-259-8212",
            "fax_number": "787-848-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 AVE. FERROCARRIL",
            "address_2": "SUITE #17",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-259-8212",
            "fax_number": "787-848-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO GARCIA",
        "first_name": "NILDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE DOCTOR",
            "identifier": "13174",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.