Individual provider Active NPI

William Santiago-Rivera, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1669445144
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14914 Issued in PR
Practice address
909 Ave. Tito Castro
Torre Medica San Lucas, Suite 717
Ponce, PR 00716
Phone
(787) 841-5549
Fax
(787) 840-3030
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14914 PR Primary

Addresses

Primary practice location

909 Ave. Tito Castro
Torre Medica San Lucas, Suite 717
Ponce, PR 00716

Mailing address

PMB 157
PO Box 780
Mercedita, PR 00715-0000
Phone (787) 841-5549

Other identifiers 1

IdentifierTypeStateIssuer
14914OtherPRSTATE LISCENCE

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
I20041007000057 PR Practitioner - Internal Medicine 6406815257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

909 Ave Tito Castro
Suite 717
Ponce, PR 00716-4722
Phone (787) 841-5549

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14914PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctoras Zaragoza- Vacunas Y Certificados de Salud LLC CurrentSince Dec 22, 2020 Accepting new patients
Internal Medicine Perioperative Consultants PSC CurrentSince Sep 11, 2008 Accepting new patients

Locations

909 Ave Tito Castro
Ste 717
Ponce, PR 00716
Phone (787) 453-0583

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1669445144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 157",
            "address_2": "PO BOX 780",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150000",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE. TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS, SUITE 717",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-RIVERA",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "14914",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.