Individual provider Active NPI

Luis Raul Santiago-Pagan, M.D.

  • Ophthalmology Physician
  • Aibonito, PR
National Provider Identifier
1427085448
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12782 Issued in PR
Practice address
56 Calle Pedro Rosario
Aibonito, PR 00705-3238
Phone
(787) 991-1325
Fax
(787) 991-2305
NPI assigned
Jun 26, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12782 PR Primary

Addresses

Primary practice location

56 Calle Pedro Rosario
Aibonito, PR 00705-3238

Mailing address

56 Calle Pedro Rosario
PO Box 455
Aibonito, PR 00705-3238
Phone (787) 991-1325

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
I20060411000232 PR Practitioner - Ophthalmology 9537178181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone (787) 694-7334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Oftalmica de la Montana, C.S.P. CurrentSince Mar 17, 2006 Accepting new patients

Locations

56 Calle Pedro Rosario
Aibonito, PR 00705
Phone (787) 735-5777

174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966

Interoperability endpoints

  • Direct secure messaging: luissantiagopagan@oftalmicamontana.direct.eyemdemr.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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1427085448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CALLE PEDRO ROSARIO",
            "address_2": "PO BOX 455",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053238",
            "telephone_number": "787-991-1325",
            "fax_number": "787-991-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CALLE PEDRO ROSARIO",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053238",
            "telephone_number": "787-991-1325",
            "fax_number": "787-991-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-PAGAN",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.