Janisse N Santiago-Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

510 Issued in PR

Practice address

27 Calle Betances
San Sebastian, PR 00685-2211

Phone

(787) 280-4681

Fax

(787) 280-4532

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pearle Vision Center of Puerto Rico, Inc

  • Eyewear Supplier
  • San Sebastian, PR
  • NPI 1134272438
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457434953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC - 05 BUY 369723",
            "city": "SAN SEBESTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-280-4681",
            "fax_number": "787-280-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE BETANCES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852211",
            "telephone_number": "787-280-4681",
            "fax_number": "787-280-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-GONZALEZ",
        "first_name": "JANISSE",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Sebastian X Ray
• Luis Fernando Sanchez-Troche, DMD
• Carmen I Sanchez, PHARMACIST
• Cidmarie Sanchez Sanchez
• Sandut Inc (Farmacia SanDut)
• Lory Beth Santiago
• Yamillette Santiago
• Yanira I. Santiago, RPH
• Jose Antonio Santisteban, O.D.
• Joel Jose Seda Olmo

• Optometrist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.