Individual provider Active NPI

Amarilys Santiago Rolon, MD

  • Gastroenterology Physician
  • Salinas, PR
National Provider Identifier
1548415177
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18073 Issued in PR
Practice address
Porto Fino Local 2
Carr 3 KM 158.7
Salinas, PR 00751
Phone
(787) 239-7850
Fax
(866) 325-4826
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27348 PR
Gastroenterology Physician 207RG0100X 18073 PR Primary

Addresses

Primary practice location

Porto Fino Local 2
Carr 3 KM 158.7
Salinas, PR 00751

Mailing address

PO Box 827
Juana Diaz, PR 00795
Phone (787) 239-7850

Other identifiers 1

IdentifierTypeStateIssuer
18073OtherPRLICENCIA

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
I20140902001562 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 1951529098 Reassigns benefits to 1 organization
Practice locations: Salinas, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Portofino Local
2 Carr 3 KM 158.7
Salinas, PR 00751
Phone (787) 537-7991

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy549
Upper gastrointestinal (GI) endoscopy for acid reflux320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27348PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Sur PSC Gastroenterology CurrentSince Dec 30, 2020 Accepting new patients

Locations

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1548415177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-239-7850",
            "fax_number": "866-325-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTO FINO LOCAL 2",
            "address_2": "CARR 3 KM 158.7",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-239-7850",
            "fax_number": "866-325-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO ROLON",
        "first_name": "AMARILYS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "27348",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "18073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "18073",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

Verify at the official NPI Registry.