Individual provider Active NPI

Viviana Ortiz Santiago

  • Endocrinology, Diabetes & Metabolism Physician
  • Caguas, PR
National Provider Identifier
1407114945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18803 Issued in PR
Practice address
4 BS Ave Las Americas
Urb Bairoa
Caguas, PR 00727-0001
Phone
(787) 746-7066
Fax
(787) 946-9401
NPI assigned
May 2, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 18803 PR Primary

Addresses

Primary practice location

4 BS Ave Las Americas
Urb Bairoa
Caguas, PR 00727-0001

Mailing address

1575 Ave. Munoz Rivera
PMB 121
Ponce, PR 00717-0211
Phone (787) 974-7868

Other practice location 1

38 Metro Pavia Clinics Calle Marina
Ponce, PR 00717
Phone (787) 651-2858

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
I20171116001627 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 7517223001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle Ferrocarril
Suite 1
San German, PR 00683-4039
Phone (787) 978-3084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endohealth LLC Single Specialty CurrentSince Aug 1, 2017 Accepting new patients

Locations

1 Calle Ferrocarril
Ste 1
San German, PR 00683
Phone (787) 978-3084

Interoperability endpoints

  • Direct secure messaging: viviana.ortizsantiago.p1@direct.vitacare.nextgenshare.com
  • Direct secure messaging: viviana.ortizsantiago@3507.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407114945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE. MUNOZ RIVERA",
            "address_2": "PMB 121",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-974-7868",
            "fax_number": "787-946-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BS AVE LAS AMERICAS",
            "address_2": "URB BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007270001",
            "telephone_number": "787-746-7066",
            "fax_number": "787-946-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Metro Pavia Clinics Calle Marina",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00717",
            "country_code": "US",
            "telephone_number": "787-651-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ SANTIAGO",
        "first_name": "VIVIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.