Individual provider Active NPI

Marcos Santiago Hernandez, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1619080389
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
80006 Issued in PR
Practice address
Ashford Medical Center
Oficina 805 Calle Washington
San Juan, PR 00907-1524
Phone
(787) 600-6411
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 80006 PR Primary

Addresses

Primary practice location

Ashford Medical Center
Oficina 805 Calle Washington
San Juan, PR 00907-1524

Mailing address

PO Box 8069
San Juan, PR 00910-0069
Phone (787) 600-6411

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
I20050224000546 PR Practitioner - Internal Medicine 0042263543 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 8069
San Juan, PR 00910-0069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80006PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Internal Medicine Services LLC Specialist PastSince Jan 17, 2021 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 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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1619080389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8069",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100069",
            "telephone_number": "787-600-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL CENTER",
            "address_2": "OFICINA 805 CALLE WASHINGTON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071524",
            "telephone_number": "787-600-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO HERNANDEZ",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "80006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.