Individual provider Active NPI

Hector Ricardo Rivera Santiago, MD

  • Emergency Medicine Physician
  • Ponce, PR
National Provider Identifier
1295476620
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
52.254613 Issued in OH
Practice address
2225 Ponce Byp Ste 407
Ponce, PR 00717-1322
Phone
(787) 840-8686
NPI assigned
Apr 7, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52.254613 OH Primary

Addresses

Primary practice location

2225 Ponce Byp Ste 407
Ponce, PR 00717-1322

Mailing address

Urb El Mirador de Cupey
M1 Calle 10
San Juan, PR 00926-7588
Phone (787) 340-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230711002322 OH Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 0345609178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52.254613OHMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hriverasantiago1858795@direct.bsmhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1295476620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL MIRADOR DE CUPEY",
            "address_2": "M1 CALLE 10",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267588",
            "telephone_number": "787-340-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP STE 407",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTIAGO",
        "first_name": "HECTOR",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "52.254613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.