Individual provider Active NPI

Astrid Krystal Crespo Santiago, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1194494542
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22502 Issued in PR
Practice address
Urb. El Madrigal
Calle 10 L4
Ponce, PR 00730
Phone
(787) 247-2107
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 22502 PR Primary

Addresses

Primary practice location

Urb. El Madrigal
Calle 10 L4
Ponce, PR 00730

Mailing address

Urb. El Madrigal
Calle 10 L4
Ponce, PR 00730
Phone (787) 247-2107

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301003337 PR Practitioner - General Practice 5193160935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Avenida Rafael Cordero Esquina Troche
Caguas, PR 00726
Phone 7877450340260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. General Practice CurrentSince Jan 24, 2024 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Jan 24, 2024 Accepting new patients

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1194494542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EL MADRIGAL",
            "address_2": "CALLE 10 L4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-247-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL MADRIGAL",
            "address_2": "CALLE 10 L4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-247-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO SANTIAGO",
        "first_name": "ASTRID",
        "middle_name": "KRYSTAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.