Active NPI
Roberto Padua Santiago, MD
- Internal Medicine Physician
- Ponce, PR
National Provider Identifier
1497879050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10849
- Practice address
- 607 Calle Ferrocarril Esq Torres
Ponce, PR 00717-6149 - Phone
- (787) 813-0080
- NPI assigned
- Mar 19, 2007
- Last updated
- May 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 Group,C.S.P. | Internal Medicine | Current | Accepting new patients |
| Primary Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Primary Medical Center, Inc | Current | Accepting new patients | |
| Gemipsc | 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
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.
-
- Internal Medicine Physician
- Manati, PR
- NPI 1831592781
-
- Radiology Clinic/Center
- Ponce, PR
- NPI 1598390114
-
- Clinic/Center
- Ponce, PR
- NPI 1104216050
-
- General Acute Care Hospital
- Jayuya, PR
- NPI 1003876954
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.