Individual provider Active NPI

Luis Alberto Santiago Caban, MD

  • Ophthalmology Physician
  • Guayama, PR
National Provider Identifier
1700018835
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20679 Issued in PR
Practice address
27 Calle Enrique Gonzalez
Guayama, PR 00784
Phone
(787) 864-2010
Fax
(787) 864-5984
NPI assigned
Aug 24, 2009
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20679 PR Primary

Addresses

Primary practice location

27 Calle Enrique Gonzalez
Guayama, PR 00784

Mailing address

27 Calle Enrique Gonzalez
Guayama, PR 00784
Phone (787) 864-2010

Other names 1

  • Luis Alberto Santiago Caban Former name

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
I20140716002369 PR Practitioner - Ophthalmology 0244470466 Reassigns benefits to 2 organizations
Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

27 Calle Enrique Gonzalez
Guayama, PR 00784
Phone (787) 864-2010

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20679PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Nov 1, 2014 Accepting new patients
Centro Oftalmologico del Sur, PSC Ophthalmology CurrentSince Nov 14, 2021 Accepting new patients
Recinto de Ciencias Medicas Ophthalmology CurrentSince Nov 1, 2014 Accepting new patients
Glaucoma Specialists of Puerto Rico LLC Ophthalmology PastSince Jan 1, 2022 Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Interoperability endpoints

  • Direct secure messaging: luis.santiago.cabanmd@drsantiagocaban.direct.eyemdemr.com
  • Direct secure messaging: luis.santiago@uprophthalmology.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1700018835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE ENRIQUE GONZALEZ",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE ENRIQUE GONZALEZ",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2010",
            "fax_number": "787-864-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO CABAN",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "20679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "SANTIAGO CABAN",
            "middle_name": "ALBERTO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.