Individual provider Active NPI

Mildred Ocasio-Santiago, DMD

  • General Practice Dentistry
  • Ponce, PR
National Provider Identifier
1669525176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2261 Issued in PR
Practice address
21 Calle Alfonso XII
Playa Ponce
Ponce, PR 00716-8012
Phone
(787) 840-0611
Fax
(787) 844-3092
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2261 PR Primary

Addresses

Primary practice location

21 Calle Alfonso XII
Playa Ponce
Ponce, PR 00716-8012

Mailing address

PO Box 34179
Ponce, PR 00734-4179
Phone (787) 409-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2261PRMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669525176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34179",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007344179",
            "telephone_number": "787-409-7778",
            "fax_number": "787-844-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE ALFONSO XII",
            "address_2": "PLAYA PONCE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007168012",
            "telephone_number": "787-840-0611",
            "fax_number": "787-844-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO-SANTIAGO",
        "first_name": "MILDRED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.