Individual provider Active NPI

Elfren F. Rios Santiago, M.D.

  • Family Medicine Physician
  • Dorado, PR
National Provider Identifier
1336124627
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7399 Issued in PR
Practice address
Mendez Vigo #275
Dorado, PR 00646-4904
Phone
(787) 796-6154
Fax
(787) 278-5769
NPI assigned
Dec 9, 2005
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 62 PR
Family Medicine Physician 207Q00000X 7399 PR Primary

Addresses

Primary practice location

Mendez Vigo #275
Dorado, PR 00646-4904

Mailing address

Mendez Vigo #275
Dorado, PR 00646-4904
Phone (787) 796-6154

Other identifiers 1

IdentifierTypeStateIssuer
7399OtherPRMEDICAL LICENCE NUMBER

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000678 PR Practitioner - Family Practice 3476745670 Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Mendez Vigo
Suite 275
Dorado, PR 00646-4904
Phone (787) 796-6154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62PRMDAcupuncturist
7399PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1336124627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MENDEZ VIGO #275",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464904",
            "telephone_number": "787-796-6154",
            "fax_number": "787-278-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENDEZ VIGO #275",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464904",
            "telephone_number": "787-796-6154",
            "fax_number": "787-278-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS SANTIAGO",
        "first_name": "ELFREN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "62",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "7399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "7399",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.