Active NPI
Juan Ramon Montoyo Santiago, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1124779251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
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.
-
- General Acute Care Hospital
- Carolina, PR
- NPI 1255736187
-
- General Acute Care Hospital
- Fajardo, PR
- NPI 1962280131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.