Individual provider Active NPI

Hiram Antonio Ruiz Santiago II, MD

  • MOHS-Micrographic Surgery Physician
  • Bayamon, PR
National Provider Identifier
1447249768
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
12825 Issued in PR
Practice address
1845 Carr 2 Ste 907
Bayamon Medical PLZ
Bayamon, PR 00959-7206
Phone
(787) 641-9585
Fax
(787) 641-9586
NPI assigned
Oct 19, 2005
Last updated
May 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 12825 PR
MOHS-Micrographic Surgery Physician 207ND0101X 12825 PR Primary

Addresses

Primary practice location

1845 Carr 2 Ste 907
Bayamon Medical PLZ
Bayamon, PR 00959-7206

Mailing address

1845 Carr 2 Ste 907
Bayamon Medical PLZ
Bayamon, PR 00959-7206
Phone (787) 641-9585

Other identifiers 1

IdentifierTypeStateIssuer
26193OtherPRMEDICARE NUMBER-RCM

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
I20040819000752 PR Practitioner - Dermatology 4789657453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1845 Carr
2 Suite 907
Bayamon, PR 00959-7206
Phone (787) 641-9585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions160
Removal of skin cancer218
Removal or shaving of skin growth13
Skin biopsy112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12825PRMDMOHS-Micrographic Surgery Physician
12725PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermasurgery, PSC CurrentSince May 2, 2010 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Recinto de Ciencias Medicas Dermatology Past Accepting new patients

Locations

1845 Carr 2
Ste 907
Bayamon, PR 00959
Phone (787) 641-9585

Organizations & group practices 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1447249768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CARR 2 STE 907",
            "address_2": "BAYAMON MEDICAL PLZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-641-9585",
            "fax_number": "787-641-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR 2 STE 907",
            "address_2": "BAYAMON MEDICAL PLZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-641-9585",
            "fax_number": "787-641-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ SANTIAGO",
        "first_name": "HIRAM",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "12825",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PR",
            "license": "12825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER-RCM",
            "identifier": "26193",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.