Enrique A Santiago, D.M.D., MBA/HCM

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008588 Issued in AZ

Practice address

7225 N Mona Lisa Rd
Ste 203
Tucson, AZ 85741-4529

Phone

(520) 888-0510

Fax

(520) 888-1688

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1790763548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 N JOHNNY MILLER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429795",
            "telephone_number": "787-412-0021",
            "fax_number": "787-998-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N MONA LISA RD",
            "address_2": "STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414529",
            "telephone_number": "520-888-0510",
            "fax_number": "520-888-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ENRIQUE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D., MBA/HCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "4724",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1523449",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "40993",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Santasiere, DMD
• Sante Et Beaute Med Spa LLC
• Alexander Santerre
• Mecheliz Santiago Amaro, LMSW
• Betzy Michelle Santiago Donato
• Jose M Santiago, M.D.
• Lynda Santillan
• Cesar Abraham Santillana, MD
• Adrian George Santini, MD
• Catherine Collette Santo, FNP-C

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.