Individual provider Active NPI

Carla Marie Santiago Burgos, MD

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1831658343
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23232 Issued in PR
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
23232PRMDPediatrics Physician
15479-IPRMDGeneral Practice Physician
36092PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.