Efren Rivera Santiago, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17155 Issued in PR

Practice address

F4 Ave Principal
Urb Baralt
Fajardo, PR 00738

Phone

(787) 860-5002

Fax

(787) 655-9021

NPI assigned

Jun 25, 2008

Last updated

Apr 3, 2019By 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

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

Practice roles

Locations

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.

• Costa Este Medical Services Corp

  • Health Maintenance Organization
  • Fajardo, PR
  • NPI 1548430689
  Medicare reassignment NPD
• Premier Med Inc

  • General Practice Physician
  • Fajardo, PR
  • NPI 1285472761
  Medicare reassignment NPD
• Costa Este Medical Services LLC

  • Health Maintenance Organization
  • Fajardo, PR
  • NPI 1174007470
  NPD
• East Coast Medical Services Inc

  • Case Management Agency
  • Fajardo, PR
  • NPI 1588876858
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1619138344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F4 AVE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-5002",
            "fax_number": "787-655-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F4 AVE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-5002",
            "fax_number": "787-655-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTIAGO",
        "first_name": "EFREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel A Rivera Diaz, DMD
• Wilfredo R Rivera Esquerdo, DPM
• Ricardo Rene Rivera Fernandez, M.D.
• Dimayra Rivera Lopez, PHD
• Lydia M. Rivera Medina, OTR/L
• Kiaramil Rivera Torres
• Alexis David Rivera-Davila, M.D.
• Rivera-Serrano Health LLC
• Edna Beatriz Rivera
• Esther Rivera, OTL

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.