Carmen Leonor Campos Santiago, M.D.
Individual provider Active NPI General Practice Physician · Juana Diaz, PR
NPI 1487697157 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487697157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 16168 (PR)
- Practice address
- Carr. 592 KM 5.6
Bo Amuelas #115
Juana Diaz, PR 00795-6574 - Phone
- (787) 837-6550
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centro Servicios Primarios de Salud de Patillas Inc.
Practice addresses (Care Compare)
99 Calle Riefkohl
Patillas, PR 00723-2838
Phone (787) 839-4320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060505000056 | PR | Practitioner - General Practice | 0244246882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servicios Medicos Universitarios | Past | Accepting new patients | |
| Bridges for Health, Inc. | Past | Accepting new patients |
Interoperability endpoints
- carmen.campos@cspsp.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16168 | PR | Yes |
Addresses
Primary practice location
Carr. 592 KM 5.6
Bo Amuelas #115
Juana Diaz, PR 00795-6574
Mailing address
3134 Calle Turpial
Villa del Carmen
Ponce, PR 00716-2251
Phone (787) 403-1747
Other providers in Juana Diaz, PR
- Alberto Burgos Santiago
- Johanna I Burgos
- By Kary la Nutri LLC
- C. Rabel, Inc.
- Marilyn Cabrera Rios
- Suzette Candelario
- Norimar Caraballo
- Carlos R Vergne LLC
- Ilia E Castanon
- Janira Castillo Playa
All providers in Juana Diaz, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.