Active NPI
Bryan A Santiago Diaz Sr., M.D.
- Internal Medicine Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19432
- Practice address
- 2.8 Carr 189
N/a
Caguas, PR 00725-6163 - Phone
- (787) 981-0804
- NPI assigned
- Jul 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 19432 | PR | Primary |
Addresses
Primary practice location
2.8 Carr 189
N/a
Caguas, PR 00725-6163
Mailing address
Q1 Calle Santa Lucia
Santa Elvira
Caguas, PR 00725-3440
Phone (787) 981-0804
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000
Hospital & facility affiliations
- Hospicio Luz Celeste
- Hospital Pavia Caguas
- Hospital San Francisco
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sim LLC | Single Specialty | Current | Accepting new patients |
| Hope Med PSC | Single Specialty | Current | Accepting new patients |
| San Francisco Health System Inc | Single Specialty | Past | Accepting new patients |
| Metro Caguas Incorporated | Past | Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Caguas, PR
- NPI 1467234039
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1598798811
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Caguas, PR
- NPI 1659732618
-
- General Acute Care Hospital
- Caguas, PR
- NPI 1467234039
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1598798811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1740733427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Q1 CALLE SANTA LUCIA",
"address_2": "SANTA ELVIRA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253440",
"telephone_number": "787-981-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2.8 CARR 189",
"address_2": "N/A",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256163",
"telephone_number": "787-981-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO DIAZ",
"first_name": "BRYAN",
"middle_name": "A",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2024-12-30",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PR",
"license": "19432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Nannette L. Santiago Betancourt, MD
- Josue Santiago Calderon, MA
- Elizabeth Santiago Colon, MD
- Reyna Liz Santiago Crespo, MD
- Santiago Crutches and Surgical Corp
- Hilmaris Charisse Santiago Figueroa
- Ivonne M Santiago Fiol, M.D
- Aidarilys Santiago Luna, 15372
- Astrid Carolina Santiago Marcano
- Alice Santiago Marin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.