Pedro Juan Santiago

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1344 Issued in PR

Practice address

39 Calle Betances
Pueblo
Bayamon, PR 00961-6207

Phone

(787) 395-7816

Fax

(787) 395-7816

NPI assigned

Aug 9, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Blessing Health Innovation LLC

  • Durable Medical Equipment & Medical Supplies
  • Camuy, PR
  • NPI 1134954639
  NPD
• Laboratorio Clinico Pura Vida, LLP

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1598288367
  NPD

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1144774076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M35 CALLE WILSON",
            "address_2": "URB. PARKVILLE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693950",
            "telephone_number": "787-607-6985",
            "fax_number": "787-395-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE BETANCES",
            "address_2": "PUEBLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616207",
            "telephone_number": "787-395-7816",
            "fax_number": "787-395-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "PEDRO",
        "middle_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "40D2104058",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lymari Santiago
• Maria Santiago, RPH.
• Maricelis Santiago, 6704
• Melvin Javier Santiago, LIC.
• Monica Santiago
• Rafael Santiago
• Raquel Santiago, PHARMACIST
• Rigoberto Santiago, PT
• Sol M. Santiago, LMT
• Wilda Ivette Santiago, O.D.

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.