Active NPI
Elizabeth Perez Santiago, DMD
- Endodontics
- Caguas, PR
National Provider Identifier
1235583238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3289
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729002719 | PR | Practitioner - Oral Surgery | 7719213784 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3289 | CA | MD | School 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.