Individual provider Active NPI

Carlos Guerra-Santiago, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1831182773
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4047 Issued in PR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000480 PR Practitioner - NephrologyPractitioner - Internal Medicine 8022141704 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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

Sources for this page

Verify at the official NPI Registry.