Individual provider Active NPI

Angel Luis Santiago Ramos

  • General Practice Physician
  • Coamo, PR
National Provider Identifier
1497238778
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21097 Issued in PR
Practice address
A29 Valles del Paraiso
Coamo, PR 00769
Phone
(787) 439-6873
NPI assigned
Sep 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21097 PR Primary

Addresses

Primary practice location

A29 Valles del Paraiso
Coamo, PR 00769

Mailing address

Ee31 Glenview Gardens N14
Ponce, PR 00730

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
I20201009000242 PR Practitioner - General Practice 7416377650 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Medicina Primaria Y Geriatria PSCGroup PAC ID 9234533159, 2 clinicians

Practice addresses (Care Compare)

Carr 798 KM
5 Bo Rio Canas
Caguas, PR 00725-0001
Phone (787) 286-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21097PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asr Medical & Managerial Services LLC General Practice Current Accepting new patients
Centro de Medicina Primaria Y Geriatria PSC General Practice CurrentSince Mar 8, 2023 Accepting new patients

Organizations & group practices 2

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1497238778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EE31 GLENVIEW GARDENS N14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A29 VALLES DEL PARAISO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-439-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RAMOS",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.