Active NPI
Dania Luz Santiago-Caraballo, M.D.
- Hematology & Oncology Physician
- Manati, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 17468
- Practice address
- MMC Professional Plaza
Suite 103
Manati, PR 00674 - Phone
- (787) 884-7202
- Fax
- (787) 854-7768
- NPI assigned
- Jun 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17468 | PR | |
| Hematology & Oncology Physician | 207RH0003X | 17468 | PR | Primary |
Addresses
Primary practice location
MMC Professional Plaza
Suite 103
Manati, PR 00674
Mailing address
Ave 22 San Ignacio
Cond Plaza del Palmar Apt 109
Guaynabo, PR 00969
Phone (787) 349-2423
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Manati Medical Propessional Plaza
Calle Sargento Hernandez . Suite 103
Manati, PR 00674
Phone (787) 884-7202
Hospital & facility affiliations
- Manati Medical Center Dr Otero Lopez
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17468 | PR | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Hematologia Y Oncologia Medico del Norte P.S.C. | Hematology & Oncology | Current | Accepting new patients |
Locations
267 Calle Sierra Morena
San Juan, PR 00926
Phone (787) 616-8557
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Manati, PR
- NPI 1033251780
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manati, PR
- NPI 1376605170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1124288618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE 22 SAN IGNACIO",
"address_2": "COND PLAZA DEL PALMAR APT 109",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-349-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMC PROFESSIONAL PLAZA",
"address_2": "SUITE 103",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-7202",
"fax_number": "787-854-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO-CARABALLO",
"first_name": "DANIA",
"middle_name": "LUZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "17468",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PR",
"license": "17468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.