Individual provider Active NPI

Yadira Santiago, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1780123455
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13395 Issued in TX
Practice address
10739 Gulf Fwy
Houston, TX 77034-1857
Phone
(346) 410-5465
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13395 TX Primary

Addresses

Primary practice location

10739 Gulf Fwy
Houston, TX 77034-1857

Mailing address

5720 Broadway St Ste 102
Pearland, TX 77581-7945
Phone (346) 410-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227003936 PR Practitioner - Chiropractic 4082984331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
855PRMDChiropractor
13395TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Clinica Quiropractica Dra. Yadira Santiago LLC Chiropractor CurrentSince Nov 1, 2024 Accepting new patients

Locations

315 Calle Manuel Domenech
Ste 4
San Juan, PR 00918
Phone (939) 649-2520

315 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 754-0600

Organizations & group practices 1

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1780123455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BROADWAY ST STE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817945",
            "telephone_number": "346-410-5465",
            "fax_number": "346-410-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341857",
            "telephone_number": "346-410-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "YADIRA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.