Nicole Marie Simonetti Santiago, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

18689 Issued in PR

Practice address

Hospital Episcolal San Lucas
Ave Tito Castro 917
Ponce, PR 00717

Phone

(787) 844-2080

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hospital Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286
  Medicare reassignment NPD
• Southern Anesthesia Associates LLC

  • Specialist
  • Ponce, PR
  • NPI 1336120153
  NPD

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1407131709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201-E CALLE CAPELLAN",
            "address_2": "PATIO SENORIAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL EPISCOLAL SAN LUCAS",
            "address_2": "AVE TITO CASTRO 917",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONETTI SANTIAGO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "18689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Rafael Sifonte
• Elizabeth Silen, APRN
• Lilliana Guadalupe Silva Figueroa, M.D.
• Pilar Elena Silva-Melendez, M.D.
• Julio Wilfredo Silvagnoli Rodriguez, MD
• Humberto Simonetti, M.D.
• Sis Clinica Integral
• Skin Care Specialists Inc
• Sla Inc
• Sleep Apnea Dental Solutions of Puerto Rico PSC

• Emergency Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.