Individual provider Active NPI

Dania Luz Santiago-Caraballo, M.D.

  • Hematology & Oncology Physician
  • Manati, PR
National Provider Identifier
1124288618
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
17468 Issued in PR
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

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000057 PR Practitioner - Hematology/Oncology 2769623784 Reassigns benefits to 1 organization
Practice locations: Manati, PR

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 Hospital, Manati, PR, CCN 400114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17468PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Hematologia Y Oncologia Medico del Norte P.S.C. Hematology & Oncology CurrentSince Mar 11, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.