Individual provider Active NPI

Roberto Padua Santiago, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1497879050
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10849 Issued in PR
Practice address
607 Calle Ferrocarril Esq Torres
Ponce, PR 00717-6149
Phone
(787) 813-0080
NPI assigned
Mar 19, 2007
Last updated
May 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10849 PR Primary

Addresses

Primary practice location

607 Calle Ferrocarril Esq Torres
Ponce, PR 00717-6149

Mailing address

PO Box 336149
Ponce, PR 00733-6149
Phone (787) 844-0331

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
I20080612000772 PR Practitioner - Internal Medicine 0345311718 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10849PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group, C.S.P. CurrentSince Feb 18, 2013 Accepting new patients
Primary Medical Group,C.S.P. Internal Medicine CurrentSince Feb 18, 2013 Accepting new patients
Primary Medical Center Inc Internal Medicine CurrentSince Jun 16, 2015 Accepting new patients
Primary Medical Center, Inc CurrentSince Jun 16, 2015 Accepting new patients
Gemipsc Internal Medicine CurrentSince Feb 2, 2020 Accepting new patients
Municipio de Jayuya Past Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219

Interoperability endpoints

  • Direct secure messaging: roberto.paduasantiago.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1497879050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336149",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336149",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CALLE FERROCARRIL ESQ TORRES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007176149",
            "telephone_number": "787-813-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADUA SANTIAGO",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.