Active NPI
Xavier Domenech Santiago
- General Practice Physician
- Camuy, PR
National Provider Identifier
1144098674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 023627
- Practice address
- Carr 486 KM 3.4 Int Sector Los Vargas Abra Honda
Camuy, PR 00627 - Phone
- (939) 289-9564
- NPI assigned
- Dec 14, 2023
- Last updated
- Sep 23, 2024
- 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 | 023627 | PR | Primary |
Addresses
Primary practice location
Carr 486 KM 3.4 Int Sector Los Vargas Abra Honda
Camuy, PR 00627
Mailing address
HC 04 Box 19667
Camuy, PR 00627
UM
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 |
|---|---|---|---|---|
| I20241030004513 | PR | Practitioner - General Practice | 5991248767 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023627 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1144098674",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HC 04 BOX 19667",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 486 KM 3.4 INT SECTOR LOS VARGAS ABRA HONDA",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "939-289-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENECH SANTIAGO",
"first_name": "XAVIER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-14",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "023627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
- Carolina De Jesus-Acosta, MD
- Juan Gabriel Del Rio, MD
- Wanda Evelyn Delgado Rodriguez, MD
- Mirelis Diaz Caparroz
- Loren Y Diaz Ramos, PSYD
- Iris Viviana Dorta, PHARMACY TCHNICIAN
- Dr Cesar H Medina Inc
- Dr Ramon a Velez Arce CSP
- Dra. Dakmarys Padilla C.S.P.
- DVW Clinical Laboratories Services (Lab Clinico Camuy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.