Santos Santiago Medina, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

6223 Issued in PR

Practice address

Ave Las Americas 2401
Edificio Porrata Pila #207
Ponce, PR 00717-2115

Phone

(787) 841-1141

Fax

(787) 841-1142

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1255318598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800378",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800378",
            "telephone_number": "787-841-1141",
            "fax_number": "787-841-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAS AMERICAS 2401",
            "address_2": "EDIFICIO PORRATA PILA #207",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172115",
            "telephone_number": "787-841-1141",
            "fax_number": "787-841-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MEDINA",
        "first_name": "SANTOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "6223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "209302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "600090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "6424",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE 3807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3706223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "80918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nilda Santiago Garcia, M.D.
• Osvaldo Jose Santiago Gonzalez, MDFACS
• Rafael J Santiago Maldonado
• Joel Santiago Manfredy, O.D.
• Sonia Ivette Santiago Mateo, MD
• Rosa Santiago Molina, MAESTRIA EN TRABAJO
• Carmen Laura Santiago Munoz, M.D.
• Santos Manuel Santiago Pabon, MD
• Alexandra Marie Santiago Rivera
• Glorimar Santiago Rivera

• Obstetrics & Gynecology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.