Individual provider Active NPI

Santiago A Ulloa Ramirez

  • Surgery Physician
  • Guaynabo, PR
National Provider Identifier
1619074960
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10722 Issued in PR
Practice address
17 Calle Gonzalez Giusti
Guaynabo, PR 00968-3017
Phone
(787) 707-0095
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10722 PR Primary

Addresses

Primary practice location

17 Calle Gonzalez Giusti
Guaynabo, PR 00968-3017

Mailing address

107 Gonzalez Giusti Avenue
Caparra Gallery BLDG Suite 305
Guaynabo, PR 00968-3017
Phone (787) 707-0095

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
I20100901000288 PR Practitioner - Colorectal Surgery (Proctology) 4981613650 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Gonzalez Giusti Ave
Caparra Gallery BLDG Suite 305
Guaynabo, PR 00968-3017
Phone (787) 707-0095

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy425
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10722PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital San Juan Past Accepting new patients

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.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1619074960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GONZALEZ GIUSTI AVENUE",
            "address_2": "CAPARRA GALLERY BLDG SUITE 305",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683017",
            "telephone_number": "787-707-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE GONZALEZ GIUSTI",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683017",
            "telephone_number": "787-707-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA RAMIREZ",
        "first_name": "SANTIAGO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "10722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.