Active NPI
Carlos Guerra-Santiago, MD
- Specialist
- San Juan, PR
National Provider Identifier
1831182773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4047
- Practice address
- Torre Auxilio Mutuo Suite 712
Ave. Ponce de Leon 735
San Juan, PR 00917-0712 - Phone
- (787) 773-8040
- Fax
- (787) 773-8041
- NPI assigned
- Aug 25, 2005
- Last updated
- Jan 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4047 | PR | Primary |
Addresses
Primary practice location
Torre Auxilio Mutuo Suite 712
Ave. Ponce de Leon 735
San Juan, PR 00917-0712
Mailing address
Torre Auxilio Mutuo Suite 712
Ave. Ponce de Leon 735
San Juan, PR 00917-0712
Phone (787) 773-8040
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100802000480 | PR | Practitioner - Nephrology | 8022141704 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 773-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1831182773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TORRE AUXILIO MUTUO SUITE 712",
"address_2": "AVE. PONCE DE LEON 735",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009170712",
"telephone_number": "787-773-8040",
"fax_number": "787-773-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TORRE AUXILIO MUTUO SUITE 712",
"address_2": "AVE. PONCE DE LEON 735",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009170712",
"telephone_number": "787-773-8040",
"fax_number": "787-773-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA-SANTIAGO",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "4047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Guaynabo Home Care Program, Inc. (Cuidado Casero Guaynabo)
- Guaynabo Periodontics and Dental Implants
- Carmen Guede, M.D.
- Christopher Guerra Olivo
- Cristina A. Guerra Rivera, MSW
- Jhon A Guerra, M.D.
- Elsa A Guerrero Orellana, M.S., CCC-SLP
- Gualberto Guerrero-Manzano, M.D.
- Lidia M Guerrero-Rodriguez, DMD
- Felicia Guerrero, M.D.,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.