Individual provider Active NPI

Guadalupe Santiago Santiago

  • Internal Medicine Physician
  • Arecibo, PR
National Provider Identifier
1558322826
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in PR
Practice address
Num 50 Ave Trina Padilla de Sanz
Arecibo, PR 00612-4503
Phone
(787) 879-3978
Fax
(787) 880-3789
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207R00000X PR Primary

Addresses

Primary practice location

Num 50 Ave Trina Padilla de Sanz
Arecibo, PR 00612-4503

Mailing address

PO Box 140662
Arecibo, PR 00614-0662
Phone (787) 879-3978

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
I20061206000330 PR Practitioner - Internal Medicine 2567461247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Ave Jose de Diego
Arecibo, PR 00612-4795
Phone (787) 879-3978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R00000XPRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Santiago CSP CurrentSince Nov 30, 2015 Accepting new patients
Hospital Dr. Susoni. Inc. Past Accepting new patients

Locations

32 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-2658

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1558322826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140662",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140662",
            "telephone_number": "787-879-3978",
            "fax_number": "787-880-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUM 50 AVE TRINA PADILLA DE SANZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124503",
            "telephone_number": "787-879-3978",
            "fax_number": "787-880-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "GUADALUPE",
        "middle_name": "SANTIAGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.