Basilio Santiago Perez, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

8177 Issued in PR

Practice address

10 Calle Casia
San Juan, PR 00921-3200

Phone

(787) 641-7582

Fax

(787) 641-8369

NPI assigned

Jul 21, 2006

Last updated

Jun 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1609897412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 CALLE SANTA BRIGIDA",
            "address_2": "SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264223",
            "telephone_number": "787-210-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO PEREZ",
        "first_name": "BASILIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "8177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE  TO PRACTICE MED",
            "identifier": "0101047448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Santiago Nunez, MD
• Angel David Santiago Ortiz
• Aquiria M Santiago Ortiz, PHD
• Paola Nicole Santiago Pagan
• Xavier Santiago Pena, DMD
• Dwight M Santiago Perez, M.D.
• Jackeline Santiago Perez
• Annelisse Santiago Pintado, MD
• Yelitza Santiago Rios, M.D.
• Arleen Del C Santiago Rivera

• Geriatric Medicine (Internal Medicine) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.