NPIMap

Individual provider Active NPI

Ubaldo G Santiago Buono, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Juan, PR
National Provider Identifier
1104825611
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
13571 Issued in PR
Practice address
1304 Wilson Street
Cond El Vigia Apt 8 S
San Juan, PR 00907-2243
Phone
(787) 536-2033
Fax
(787) 722-2374
NPI assigned
Jul 18, 2005
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 13571 PR Primary

Addresses

Primary practice location

1304 Wilson Street
Cond El Vigia Apt 8 S
San Juan, PR 00907-2243

Mailing address

1304 Calle Wilson Apt 8S
San Juan, PR 00907-2243
Phone (787) 722-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000436 PR Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2961413620 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University Central del Caribe Escuela de Medicina, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1429 Ave Fernandez Juncos
Suite 3
San Juan, PR 00909-2658
Phone (787) 722-2371

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13571PRMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Health System Inc CurrentSince Feb 17, 2016 Accepting new patients
San Francisco Health System Inc Hospital San Francisco CurrentSince Feb 17, 2016 Accepting new patients
Caribe Physicians Plaza Corporation Past Accepting new patients
Doctors Center Hospital San Juan Past Accepting new patients
Fajardo Integrated Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcusantia@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1104825611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 CALLE WILSON APT 8S",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072243",
            "telephone_number": "787-722-2371",
            "fax_number": "787-722-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WILSON STREET",
            "address_2": "COND EL VIGIA APT 8 S",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072243",
            "telephone_number": "787-536-2033",
            "fax_number": "787-722-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO BUONO",
        "first_name": "UBALDO",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.