Active NPI
Karlo Ruben Perez Santiago, MD
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1407629181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23547
- Practice address
- 712 Calle Flamboyan
Mayaguez, PR 00682-7577 - Phone
- (787) 833-3366
- NPI assigned
- Nov 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23547 | PR | Primary |
Addresses
Primary practice location
712 Calle Flamboyan
Mayaguez, PR 00682-7577
Mailing address
712 Calle Flamboyan
Mayaguez, PR 00682-7577
Phone (787) 833-3366
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313000768 | PR | Practitioner - General Practice | 6305367889 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23547 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702771200000",
"number": "1407629181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 CALLE FLAMBOYAN",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006827577",
"telephone_number": "787-833-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 CALLE FLAMBOYAN",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006827577",
"telephone_number": "787-833-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SANTIAGO",
"first_name": "KARLO",
"middle_name": "RUBEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-03",
"last_updated": "2023-12-17",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Lydia Vanessa Perez Perez
- Lillian Ivette Perez Rivera, RPH
- Ruth Delly Perez Rivera, PHARMACY TECHNICIAN
- Adrian Jose Perez Rodriguez, DC
- Jannette Perez Santiago, CRNA
- Sabdi Jesse Perez Torres, M.D.
- Daiza Marie Perez-Alameda
- Carlos Javier Perez-Lopez, M.D.
- Benjamin Perez-Soto, MD
- Norma Iris Perez-Vargas, PHARMACIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.