Pedro David Santiago, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18925 Issued in PR

Practice address

355 Ave Font Martelo
Humacao, PR 00791-3249

Phone

(787) 852-0768

NPI assigned

Sep 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

San Juan Bautista School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ryder Memorial Hospital Inc Hospital, Humacao, PR, CCN 400007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Proactivemed LLC

  • Internal Medicine Physician
  • Humacao, PR
  • NPI 1841070208
  NPD
• In/Patient Services LLC

  • Internal Medicine Physician
  • Juana Diaz, PR
  • NPI 1699472258
  NPD (past)
• Ryder Memorial Hospital Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1447270319
  NPD (past)
• Southcal Internal Providers Inc

  • Internal Medicine Physician
  • Juana Diaz, PR
  • NPI 1215357710
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ryder Memorial Hospital Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1447270319
  Care Compare affiliation

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1780965467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781327",
            "telephone_number": "787-852-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "PEDRO",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaira Julissa Santana, D.M.D
• Maria Santiago Galarza, RPH
• Jayni Nicole Santiago Gonzalez, MA
• Gabriel Santiago
• Olga Lissette Santiago, DR.
• Nancy Enid Santini Valiente, MD
• Monica Andrea Santory, MSW
• Jorge Leonardo Santos de Thomas, PHARMD
• Jomar Carrillo Santos, MAESTRIA
• Saudara L&a LLC

• Internal Medicine Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.

Verify at the official NPI Registry.