Angel L Santiago Colon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

434 Issued in PR

Practice address

10 Carr 149 Suite 255
Manati Shopping Center
Manati, PR 00674

Phone

(787) 854-6222

Fax

(787) 854-6660

NPI assigned

Jan 25, 2007

Last updated

Feb 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

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.

• Mildred E. Soto Aguilar

  dba Eyewear

  • Health Service Clinic/Center
  • Manati, PR
  • NPI 1659555662
  Authorized official Same address or phone

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1336294503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CARR 149 SUITE 255",
            "address_2": "MANATI SHOPPING CENTER",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-6222",
            "fax_number": "787-854-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CARR 149 SUITE 255",
            "address_2": "MANATI SHOPPING CENTER",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-6222",
            "fax_number": "787-854-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO COLON",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA JUNTA EXAMINADORA DE O",
            "identifier": "434",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Santa, M.D.
• Jorge L. Santana - Bagur, M.D.
• Liza M. Santana Torres, MD
• Maria L. Santana Villegas, M.D.
• Luisanette Santana, MD
• Coralys Santiago Maldonado
• Joel Santiago Martinez, MD
• Isamir Santiago Mendez, MD
• Elda L Santiago Perez, RPT
• Dania Luz Santiago-Caraballo, M.D.

• Optometrist in Manati, PR
• Providers in Manati, 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 28, 2017; 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.