Roberto Padua Santiago, MD
Individual provider Active NPI Internal Medicine Physician · Ponce, PR
NPI 1497879050 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1497879050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 10849 (PR)
- Practice address
- 607 Calle Ferrocarril Esq Torres
Ponce, PR 00717-6149 - Phone
- (787) 813-0080
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20080612000772 | PR | Practitioner - Internal Medicine | 0345311718 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10849 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Group, C.S.P. | Current |
Accepting new patients | |
| Primary Medical Center, Inc | Current |
Accepting new patients | |
| Primary Medical Group,C.S.P. | Internal Medicine | Current |
Accepting new patients |
| Gemipsc | Internal Medicine | Current |
Accepting new patients |
| Primary Medical Center Inc | Internal Medicine | Current |
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
- roberto.paduasantiago.p1@direct.vitacare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10849 | PR | Yes |
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
Other providers in Ponce, PR
- Ana A Padro- Diaz
- Noel Francisco Padro-Garcia
- Jose D Padron Carmona
- Gustavo Manuel Padron Jr.
- Marilia Padua Quiles
- Pagan & Segarra Health LLC
- Margiezel Pagan Banchs
- Michael Oscar Pagan Castaner
- Moraima Pagan la Torre
- Giselle Marie Pagan Marrero
All providers in Ponce, PR · Internal Medicine 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 May 9, 2017. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.