Kimberly Rivera Santiago, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14720 Issued in PR

Practice address

73 Calle Santa Cruz
Edif. Medico Sta. Cruz Suite 314
Bayamon, PR 00961-6910

Phone

(787) 787-0117

Fax

(787) 395-7451

NPI assigned

Aug 16, 2006

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Santa Cruz Physicians Group, P.S.C.

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1598976300
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1538272448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AQ13 CALLE RIO SONADOR",
            "address_2": "VALLE VERDE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613259",
            "telephone_number": "787-640-6611",
            "fax_number": "787-395-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIF. MEDICO STA. CRUZ SUITE 314",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-787-0117",
            "fax_number": "787-395-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTIAGO",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Aleysha Rivera Rosario
• Nanelit Rivera Rosario
• Jonathan A Rivera Ruiz, M.S.
• Maria I Rivera Sanchez, MD
• Patricia Rivera Santana, MD
• Dalliam Rivera Tanon
• Stephanie Rivera Tavarez, DPM
• Elimary Rivera Torres, RN
• Janelise Marie Rivera Torres, PA
• Yoreily Rivera- Cortes, PHARMD

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.