Merary Adaileene Santiago Hernandez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1170-PA Issued in PR

Practice address

226 Calle Opalo Urb Lomas Verdes
Moca, PR 00676

Phone

(939) 406-3452

NPI assigned

Nov 23, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1821707308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CALLE OPALO URB LOMAS VERDES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "939-406-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CALLE OPALO URB LOMAS VERDES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "939-406-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO HERNANDEZ",
        "first_name": "MERARY",
        "middle_name": "ADAILEENE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1170-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanelis Sanchez Barreto
• Griselle X Sanchez, MS,OTRL
• Juan Gilberto Sanchez, DMD
• Ismayra Santiago Alvarado, ND
• Arlene Santiago Colon, SLP
• Lisa I Schmidt
• Sdim Therapy Group Corp
• Serenamente Holistico CSP
• Marriliz Serrano Mendez, BSN
• Ana Everedith Serrano, MD

• Medical Physician Assistant in Moca, PR
• Providers in Moca, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.