Jorge Edgardo Santiago, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1088 Issued in PR

Practice address

8024 Calle Concordia
Suite 403
Ponce, PR 00717-1510

Phone

(787) 843-3595

Fax

(787) 984-3147

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1538169255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 CALLE CONCORDIA",
            "address_2": "SUITE 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171510",
            "telephone_number": "787-843-3595",
            "fax_number": "787-984-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 CALLE CONCORDIA",
            "address_2": "SUITE 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171510",
            "telephone_number": "787-843-3595",
            "fax_number": "787-984-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JORGE",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayanara Santiago, SLPA
• Dolores M Santiago
• Domingo Santiago
• Eligia Santiago, LPN
• Ian M Santiago
• Jose Alberto Santiago Sr., CSW,
• Jose D Santiago, MD
• Jose Miguel Santiago, MD
• Jose Oscar Santiago
• Lourdes Santiago, MD

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.

Verify at the official NPI Registry.