Active NPI
Carla Marie Santiago Burgos, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1831658343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23232
- Practice address
- 715 Ave Ponce de Leon
San Juan, PR 00917-5032 - Phone
- (787) 758-2000
- NPI assigned
- Mar 14, 2019
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15479-I | PR | |
| General Practice Physician | 208D00000X | 36092 | PR | |
| Pediatrics Physician | 208000000X | 23232 | PR | Primary |
Addresses
Primary practice location
715 Ave Ponce de Leon
San Juan, PR 00917-5032
Mailing address
PO Box 365067
San Juan, PR 00936-5067
Phone (787) 474-0333
Other practice location 1
677 Calle Felipe Gutierrez
San Juan, PR 00924-2207
Phone (939) 320-7020
Other practice location 2
Hospital Pediatrico Universitario
Centro Medico
San Juan, PR 00921
Phone (787) 474-0333
Other names 1
- Miss Carla Santiago
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23232 | PR | MD | Pediatrics Physician |
| 15479-I | PR | MD | General Practice Physician |
| 36092 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Departamento de Salud Oficial | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Children's Hospital
- Rio Piedras, PR
- NPI 1174678460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1831658343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-474-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175032",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [
{
"address_1": "677 Calle Felipe Gutierrez",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009242207",
"country_code": "US",
"telephone_number": "939-320-7020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Hospital Pediatrico Universitario",
"address_2": "Centro Medico",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00921",
"country_code": "US",
"telephone_number": "787-474-0333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO BURGOS",
"first_name": "CARLA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15479-I",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "36092",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "23232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "SANTIAGO",
"prefix": "MISS",
"credential": "DR. CARLA SANTIAGO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Juan, PR
- Yaly Kamille Santiago Batista
- Santiago Behavioral Healthcare
- Santiago Buono ER Services LLC
- Santiago Buono Medical Group & Hospitalist Services,PSC
- Ubaldo G Santiago Buono, M.D.
- Ada Marie Santiago Carrion
- Idamari Santiago Castro, PH.D.
- Axel Santiago Collazo
- Jorge Luis Santiago Colon, MD
- Luis J Santiago Colon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.