Active NPI
Gabriel Vargas Santiago, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1164045027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24007
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290-PA | PR | MD | Physician Assistant |
| 208D00000X | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Associates of Florida Healthcare, PA | Current | Accepting new patients | |
| Premier Medical Associates All Florida, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1093829442
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1023612827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.