NPIMap

Organization Active NPI

Nelissa J Santiago

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1174902571
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
435-020 Issued in PR
Legal business name
NELISSA J SANTIAGO
Practice address
725 West Main Ave
Bayamon, PR 00961-4201
Phone
(787) 269-2099
Fax
(787) 998-9057
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Dr. Nelissa Joan Santiago, ODNPI 1245422377
Title
Optometrist
Phone
(787) 269-2099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 435-020 PR Primary

Addresses

Primary practice location

725 West Main Ave
Bayamon, PR 00961-4201

Mailing address

4 Calle 1
Urb. la Campina
San Juan, PR 00926-9635
Phone (787) 269-2099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1174902571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE 1",
            "address_2": "URB. LA CAMPINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269635",
            "telephone_number": "787-269-2099",
            "fax_number": "787-998-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WEST MAIN AVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614201",
            "telephone_number": "787-269-2099",
            "fax_number": "787-998-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELISSA J SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "NELISSA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-269-2099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "435-020",
            "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 May 19, 2015; 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.