Santiago E Diaz del Campo, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

6823 Issued in PR

Practice address

PQ28 Ave El Comandante
Country Club
Carolina, PR 00982

Phone

(787) 769-6548

Fax

(787) 769-6565

NPI assigned

Mar 1, 2006

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

Specialty

Obstetrics/Gynecology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• JSM LLC

  • Obstetrics & Gynecology Physician
  • Bayamon, PR
  • NPI 1831836063

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1679540462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29756",
            "address_2": "65 INF. STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290756",
            "telephone_number": "787-769-6548",
            "fax_number": "787-769-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PQ28 AVE EL COMANDANTE",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-769-6548",
            "fax_number": "787-769-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DEL CAMPO",
        "first_name": "SANTIAGO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "6823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Departamento de Salud Oficial
• Bernardo Antonio Depaz Reyes, MD
• Viviana Deya Quinquilla, PSY.D
• Rafael Angel Diaz Cancel, DMD
• Ismael Enrique Diaz Davila, M.D.
• Josua Dimarc Diaz Franco, NL
• Florieli Diaz Gonzalez, PHARMD
• Monica Beatriz Diaz Hernandez, PSYD
• Angel Diaz Marti
• Gabriela M. Diaz Rivera

• All providers in Carolina, PR
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.