Individual provider Active NPI

Jiomar Santiago Feliciano

  • Internal Medicine Physician
  • Las Marias, PR
National Provider Identifier
1770236788
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24484 Issued in PR
Practice address
Carr 119 KM 21.7
Las Marias, PR 00670-9422
Phone
(787) 892-1860
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24484 PR Primary

Addresses

Primary practice location

Carr 119 KM 21.7
Las Marias, PR 00670-9422

Mailing address

HC 1 Box 2290
Las Marias, PR 00670-9422

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
I20260508003547 PR Practitioner - Geriatric Medicine 9739657545 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
4 Suite 610
San German, PR 00683
Phone (787) 222-5993

HC 1 Box
Suite 2290
Las Marias, PR 00670-9422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24484PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1770236788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 2290",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 119 KM 21.7",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709422",
            "telephone_number": "787-892-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO FELICIANO",
        "first_name": "JIOMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "24484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.