Individual provider Active NPI

Juan Ramon Montoyo Santiago, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1124779251
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23103 Issued in PR
Practice address
Plaza 65 Shooping Center, 90 C. Alondra
San Juan, PR 00924
Phone
(939) 318-3812
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 23103 PR Primary

Addresses

Primary practice location

Plaza 65 Shooping Center, 90 C. Alondra
San Juan, PR 00924

Mailing address

932 Calle Becasina
San Juan, PR 00924-3331
Phone (939) 257-6274

Other practice location 1

Bayamon Medical Center
Carr 2 KM 11.7
Bayamon, PR 00959
Phone (787) 474-8282

Other practice location 2

Ave. Roberto Clemente
bloque 124 numero 8
Carolina, PR 00985-0098
Phone (787) 750-4920

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
I20230328003104 PR Practitioner - General Practice 0143694430 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Ave Roberto Clemente
8 Villa Carolina
Carolina, PR 00985
Phone (939) 257-6274

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Hospital & facility affiliations 3

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1124779251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 CALLE BECASINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243331",
            "telephone_number": "939-257-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA 65 SHOOPING CENTER, 90 C. ALONDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "939-318-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bayamon Medical Center",
            "address_2": "Carr 2 KM 11.7",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-474-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ave. Roberto Clemente",
            "address_2": "bloque 124 numero 8",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009850098",
            "country_code": "US",
            "telephone_number": "787-750-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYO SANTIAGO",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "23103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.