Jose Antonio Santiago-Marrero, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1397 Issued in PR

Practice address

Urbanizacion Reparto Metropolitano
1002 Calle 44 SE
San Juan, PR 00921

Phone

(787) 765-8977

NPI assigned

Jul 5, 2023

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nadd Medical CSP

  • Specialist
  • San Juan, PR
  • NPI 1437411832

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1124706759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71325",
            "address_2": "SUITE 66",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368425",
            "telephone_number": "787-399-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION REPARTO METROPOLITANO",
            "address_2": "1002 CALLE 44 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-765-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-MARRERO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Angel Santiago-Diaz
• Jose M Santiago-Figueroa
• Edgardo Luis Santiago-Guzman, M.D.
• Agnes Santiago-Laboy, MD
• Jayleen Cristina Santiago-Maestre
• Felix Santiago-Ortiz, M.D.
• Wilmary Santiago-Ramos, DMD
• Manuel Santiago-Rivera, O.D.
• Norma Edith Santiago-Rivera, MD
• Syndia Liz Santiago-Rivera, SLP

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.