Individual provider Active NPI

Elizabeth Perez Santiago, DMD

  • Endodontics
  • Caguas, PR
National Provider Identifier
1235583238
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3289 Issued in CA
Practice address
Plaza del Carmen Mall
Suite 22 PR 172 Interseccion PR 1
Caguas, PR 00725
Phone
(787) 745-6220
NPI assigned
Apr 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 3289 CA Primary

Addresses

Primary practice location

Plaza del Carmen Mall
Suite 22 PR 172 Interseccion PR 1
Caguas, PR 00725

Mailing address

380 Calle Guadalajara
San Juan, PR 00923-1849
Phone (787) 402-1454

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729002719 PR Practitioner - Oral Surgery 7719213784 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1235583238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CALLE GUADALAJARA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009231849",
            "telephone_number": "787-402-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARMEN MALL",
            "address_2": "SUITE 22 PR 172 INTERSECCION PR 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SANTIAGO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.