Individual provider Active NPI

George Steven Santiago, MD

  • Anatomic Pathology Physician
  • San Juan, PR
National Provider Identifier
1598377335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
35129 Issued in PR
Practice address
Ave Americo Miranda S/N
San Juan, PR 00935-0001
Phone
(787) 340-0501
NPI assigned
Aug 22, 2020
Last updated
Aug 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 35129 PR Primary

Addresses

Primary practice location

Ave Americo Miranda S/N
San Juan, PR 00935-0001

Mailing address

PO Box 9033
Ponce, PR 00732-9033
Phone (787) 290-9091

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address george.santiago3@upr.edu Direct

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
I20240206004980 PR Practitioner - Pathology 8527401512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pathology Services IncGroup PAC ID 7214259506, 11 clinicians

Practice addresses (Care Compare)

Parque Industrial Sabaneta
Ponce, PR 00716
Phone (787) 841-8645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35129PRMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pathology Services, Inc. Single Specialty CurrentSince Dec 25, 2023 Accepting new patients
Southern Pathology Services, Inc. CurrentSince Dec 25, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1598377335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9033",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007329033",
            "telephone_number": "787-290-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA S/N",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-340-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "GEORGE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PR",
            "license": "35129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.santiago3@upr.edu",
            "affiliation": "N",
            "endpointDescription": "Institutional e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Institutional e-mail address",
            "address_1": "Ave Americo Miranda S/N",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009350001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.