Wilda Ivette Santiago, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

211 Issued in PR

Practice address

CC36 Calle Ceibas
Estancias de Rio Hondo III
Bayamon, PR 00961-3419

Phone

(787) 798-3333

Fax

(787) 798-6829

NPI assigned

Oct 18, 2005

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eyemart PR LLC

  • Optometrist
  • Bayamon, PR
  • NPI 1528937372
  Medicare reassignment NPD Authorized official
• Eyemart PR LLC

  • Optometrist
  • Bayamon, PR
  • NPI 1942013669
  NPD Authorized official
• Centro Optometrico Especializado de PR LLC

  • Optometrist
  • Bayamon, PR
  • NPI 1851895874
  Authorized official Same address or phone
• Eyemart

  • Optometrist
  • Bayamon, PR
  • NPI 1437370566
  Authorized official Same address or phone

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1679562052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CC36 CALLE CEIBAS",
            "address_2": "ESTANCIAS DE RIO HONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613419",
            "telephone_number": "787-798-3333",
            "fax_number": "787-798-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC36 CALLE CEIBAS",
            "address_2": "ESTANCIAS DE RIO HONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613419",
            "telephone_number": "787-798-3333",
            "fax_number": "787-798-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "WILDA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Juan Santiago
• Rafael Santiago
• Raquel Santiago, PHARMACIST
• Rigoberto Santiago, PT
• Sol M. Santiago, LMT
• Glenda Damaris Santini Rodriguez
• Migdaliz Santos Catala
• Joseph Karl Santos Cruz
• Yaridis D Santos Monserrate
• Ana M Santos Rosado

• Optometrist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.