Active NPI
Stanley Rivera Santiago, MD
- Obstetrics & Gynecology Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME113009
- Practice address
- 1111 12TH St
Suite 104
Key West, FL 33040-4088 - Phone
- (305) 293-1830
- Fax
- (305) 293-2937
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME113009 | FL | Primary |
Addresses
Primary practice location
1111 12TH St
Suite 104
Key West, FL 33040-4088
Mailing address
1111 12TH St
Suite 104
Key West, FL 33040-4088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stanley.santiago.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 12TH St
Suite 104
Key West, FL 33040-4084
Phone (305) 293-1830
Hospital & facility affiliations
- Lower Keys Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of South Florida, Inc | Current | Accepting new patients | |
| Key West Hma Physician Management, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Key West Hma Physician Management LLC | Current | Accepting new patients | |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Temple Physician Inc. | Past | Accepting new patients |
Locations
10300 SW 216th St
Cutler Bay, FL 33190
1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830
2805 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-4000
Interoperability endpoints
- stanley.santiago.1@4692.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cudjoe Key, FL
- NPI 1871548651
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1336152347
-
- Federally Qualified Health Center (FQHC)
- Key Largo, FL
- NPI 1417704198
-
- Orthopaedic Surgery Physician
- Key West, FL
- NPI 1346548229
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1316924285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "SUITE 104",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "SUITE 104",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088",
"telephone_number": "305-293-1830",
"fax_number": "305-293-2937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "STANLEY",
"middle_name": "RIVERA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME113009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stanley.santiago.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1111 12th St",
"address_2": "SUITE 104",
"city": "Key West",
"state": "FL",
"country_code": "US",
"postal_code": "330404088",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.