Active NPI
Irma Delia Santiago, MD
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1205909926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35056699
- Practice address
- 635 N Erie St
Toledo, OH 43604-5317 - Phone
- (419) 213-4186
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35056699 | OH | Primary |
| Family Medicine Physician | 207Q00000X | 16448 | PR | |
| Occupational Medicine Physician | 2083X0100X | 35056699 | OH | |
| Occupational Medicine Physician | 2083X0100X | 16448 | PR |
Addresses
Primary practice location
635 N Erie St
Toledo, OH 43604-5317
Mailing address
PO Box 58
Maumee, OH 43537-0058
Phone (939) 244-6171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DM165001 | Other | ASSMCA ESTADA LIBRE ASOCI | |
| 0747688 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16448 | PR | MD | Family Medicine Physician |
| 35056699 | OH | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205909926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435370058",
"telephone_number": "939-244-6171",
"fax_number": "787-843-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045317",
"telephone_number": "419-213-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "IRMA",
"middle_name": "DELIA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35056699",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "16448",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "35056699",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "16448",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSMCA ESTADA LIBRE ASOCI",
"identifier": "DM165001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0747688",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.