Manuel Santiago-Rivera, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

141 Issued in PR

Practice address

925 Roberto Sanchez Vilella Ave
Country Club
San Juan, PR 00924

Phone

(787) 757-3375

Fax

(787) 757-3375

NPI assigned

Jul 7, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114959566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 AVE PONCE DE LEON",
            "address_2": "MIRAMAR 9G",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073646",
            "telephone_number": "787-721-6656",
            "fax_number": "787-721-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 ROBERTO SANCHEZ VILELLA AVE",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-757-3375",
            "fax_number": "787-757-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-RIVERA",
        "first_name": "MANUEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Santiago-Laboy, MD
• Jayleen Cristina Santiago-Maestre
• Jose Antonio Santiago-Marrero, MD
• Felix Santiago-Ortiz, M.D.
• Wilmary Santiago-Ramos, DMD
• Norma Edith Santiago-Rivera, MD
• Syndia Liz Santiago-Rivera, SLP
• Ivelisse Santiago-Rodriguez
• Michelaldemar Santiago-Sanchez, M.D.
• Irma Jessica Santiago-Santiago, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.