Active NPI
Daniella Maria Santiago-Haddock, MD
- Emergency Medicine Physician
- Bayamon, PR
National Provider Identifier
1801236682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21575
- Practice address
- KM 11.7 PR-2
Bayamon, PR 00959 - Phone
- (787) 474-8282
- NPI assigned
- Jun 26, 2013
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD04652 | DC | |
| Emergency Medicine Physician | 207P00000X | 21575 | PR | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 21575 | PR |
Addresses
Primary practice location
KM 11.7 PR-2
Bayamon, PR 00959
Mailing address
MMC Professional Plaza
Suite 310
Manati, PR 00674
Phone (787) 884-2558
Other practice location 1
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 444-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038514300 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD04652 | DC | MD | Emergency Medicine Physician |
| 21575 | PR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1801236682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MMC PROFESSIONAL PLAZA",
"address_2": "SUITE 310",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 11.7 PR-2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-474-8282"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20007",
"country_code": "US",
"telephone_number": "202-444-2119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO-HADDOCK",
"first_name": "DANIELLA",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD04652",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "21575",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "PR",
"license": "21575",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038514300",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.