Individual provider Active NPI

Robin Santiago-Delgado, M.D.

  • Family Medicine Physician
  • Florida, PR
National Provider Identifier
1457437394
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15092 Issued in PR
Practice address
PR-140, KM 56.3
Bo. San Agustin
Florida, PR 00650
Phone
(787) 822-1111
Fax
(787) 680-7814
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15092 PR Primary

Addresses

Primary practice location

PR-140, KM 56.3
Bo. San Agustin
Florida, PR 00650

Mailing address

PO Box 2360
Manati, PR 00674-2360
Phone (787) 822-1111

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
I20090529000198 PR Practitioner - Family Practice 1052413002 Practice locations: Florida, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Medicina Especializada C.S.P. Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Camino de Luz Hospice Care, Inc.Manati, PR, CCN 401558 Hospice Corporate Director Jan 1, 2011
Path of Live Hospice Care Inc.Manati, PR, CCN 401577 Hospice Contracted Managing Employee Jul 13, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1457437394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2360",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742360",
            "telephone_number": "787-822-1111",
            "fax_number": "787-680-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-140, KM 56.3",
            "address_2": "BO. SAN AGUSTIN",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "00650",
            "telephone_number": "787-822-1111",
            "fax_number": "787-680-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-DELGADO",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

Verify at the official NPI Registry.