Active NPI
Juan Carlos Santiago Gonzalez, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1821582073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22646
- Practice address
- Bo Monacillos Centro Medico de Puerto Rico
San Juan, PR 00935-0001 - Phone
- (787) 754-0101
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 15125I | PR | |
| Internal Medicine Physician | 207R00000X | 22646 | PR | Primary |
Addresses
Primary practice location
Bo Monacillos Centro Medico de Puerto Rico
San Juan, PR 00935-0001
Mailing address
Monacillos Carr 22 Centro Medico de Puerto Rico
San Juan, PR 00935-0001
Phone (787) 754-0101
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15125I | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Internal Medicine | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Internal Medicine | Current | Accepting new patients |
Locations
BO Monacillos Ctro Medico
San Juan, PR 00935
BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1285738583
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1467524967
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1821582073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MONACILLOS CARR 22 CENTRO MEDICO DE PUERTO RICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-754-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO MONACILLOS CENTRO MEDICO DE PUERTO RICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-754-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO GONZALEZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "15125I",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "22646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Solimar Santiago del Rosario
- Cinthia Santiago Diaz, LCDA.
- Rafael E Santiago Feliciano, MSW
- Melissa Santiago Garraton, M.D.
- Emmanuel Jose Santiago Gonzalez
- Marcos Santiago Hernandez, MD
- Diego Fernando Santiago Jimenez
- Andrea Cristina Santiago Leon
- Yainy Yalich Santiago Martinez
- Virginia Margarita Santiago Mercado, BSMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.