Nelissa Joan Santiago, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

435 Issued in PR

Practice address

Urb. la Campina a 4 Calle 1
San Juan, PR 00926-9635

Phone

(787) 649-8352

NPI assigned

Aug 13, 2007

Last updated

Feb 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nelissa J Santiago

  • Clinic/Center
  • Bayamon, PR
  • NPI 1174902571
  NPD (past) Authorized official

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1245422377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA CAMPINA A 4 CALLE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269635",
            "telephone_number": "787-649-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA CAMPINA A 4 CALLE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269635",
            "telephone_number": "787-649-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "NELISSA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margie Santiago, M.S., SLP
• Maria Elisa Santiago
• Maribel Santiago
• Mayra L. Santiago, LND
• Nayda M Santiago, RPH
• Nicole Yaliz Santiago, ATF
• Omayra Santiago, PSYCHOLOGIST
• Rosangel Santiago, M.D.
• Sandra I Santiago, MD
• Sergio Fabian Santiago

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.

Verify at the official NPI Registry.