Individual provider Active NPI

Gabriel Vargas Santiago, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1164045027
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24007 Issued in PR
Practice address
36 Calle Barbosa Esq Manuel F Rossy
Bayamon, PR 00960-5350
Phone
(787) 705-5634
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 24007 PR Primary

Addresses

Primary practice location

36 Calle Barbosa Esq Manuel F Rossy
Bayamon, PR 00960-5350

Mailing address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241107000639 FL Practitioner - General Practice 3476087941 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290-PAPRMDPhysician Assistant
208D00000XFLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Nov 1, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

40083 Highway 27
Davenport, FL 33837

40230 Highway 27
Davenport, FL 33837

40230 Highway 27
Ste 130
Davenport, FL 33837

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Interoperability endpoints

  • Direct secure messaging: gabriel.vargassantiago@4048.securemail.prognocis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1164045027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CALLE BARBOSA ESQ MANUEL F ROSSY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605350",
            "telephone_number": "787-705-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS SANTIAGO",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.