Individual provider Active NPI

William Matos-Santiago, M.D.

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1477536498
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
3572 Issued in PR
Practice address
La Torre de Plaza Las Americas
Suite 607
San Juan, PR 00918
Phone
(787) 756-7730
Fax
(787) 754-2472
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 3572 PR Primary

Addresses

Primary practice location

La Torre de Plaza Las Americas
Suite 607
San Juan, PR 00918

Mailing address

525 Ave. F.D. Roosevelt
Suite 607
San Juan, PR 00918-8052
Phone (787) 756-7730

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
I20050523001251 PR Practitioner - RheumatologyPractitioner - Internal Medicine 0345282026 Practice locations: Hato Rey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3572PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1477536498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE. F.D. ROOSEVELT",
            "address_2": "SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188052",
            "telephone_number": "787-756-7730",
            "fax_number": "787-754-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA TORRE DE PLAZA LAS AMERICAS",
            "address_2": "SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-756-7730",
            "fax_number": "787-754-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-SANTIAGO",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.