Individual provider Active NPI

Roberto Jose Santiago Mendez, M.D

  • Radiation Oncology Physician
  • Bayamon, PR
National Provider Identifier
1710025762
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
15470 Issued in PR
Practice address
Marginal #2, Esquina 3B, Suite G1
Urb Hermanas Davila
Bayamon, PR 00960
Phone
(787) 966-7500
Fax
(787) 966-7505
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 15470 PR Primary

Addresses

Primary practice location

Marginal #2, Esquina 3B, Suite G1
Urb Hermanas Davila
Bayamon, PR 00960

Mailing address

PO Box 1589
Bayamon, PR 00960-1589
Phone (787) 966-7500

Other identifiers 1

IdentifierTypeStateIssuer
15470OtherPRSTATE LICENCE

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
I20070917000523 PR Practitioner - Radiation Oncology 1052405412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribbean Imaging and Radiation Treatment Center IncGroup PAC ID 4486782307, 12 clinicians
Precise Radiation Oncology Center PSCGroup PAC ID 2961685482, 4 clinicians
Centro de Radioterapia Auxilio Mutuo IncGroup PAC ID 2365507068, 5 clinicians

Practice addresses (Care Compare)

2225 Parra by Pass
Ponce, PR 00717-1320
Phone (787) 842-2478

54 Calle Marginal
Guayama, PR 00784-4039
Phone (787) 686-0090

Marginal Carr 2 Num
1 3 B Square Hnas Davila Suite G 1
Bayamon, PR 00960
Phone (787) 966-7500

PO Box
Bayamon, PR 00960

Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918
Phone (787) 758-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Radiosurgery Solutions PSC Radiation Oncology CurrentSince Jul 7, 2020 Accepting new patients
Precise Radiation Oncology Center PSC Radiation Oncology CurrentSince Jun 27, 2012 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc Diagnostic Radiology CurrentSince Oct 11, 2014 Accepting new patients
Instituto de Radioterapia Avanzada del Este, PSC Diagnostic Radiology CurrentSince Oct 28, 2013 Accepting new patients
Centro de Radioterapia Auxilio Mutuo, Inc. Radiation Oncology CurrentSince Nov 5, 2011 Accepting new patients

Locations

55 Calle Antonio Lopez S
Humacao, PR 00791
Phone (787) 719-2300

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1710025762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601589",
            "telephone_number": "787-966-7500",
            "fax_number": "787-966-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGINAL #2, ESQUINA 3B, SUITE G1",
            "address_2": "URB HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-966-7500",
            "fax_number": "787-966-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MENDEZ",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "15470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "15470",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.