Individual provider Active NPI

Isaias Santiago, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1831915487
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1182259 Issued in TX
Practice address
5108 McPherson Rd Ste 101-B
Laredo, TX 78041-7321
Phone
(956) 291-3090
Fax
(956) 804-5573
NPI assigned
Nov 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1182259 TX Primary
Home Health Registered Nurse 163WH0200X 708044 TX

Addresses

Primary practice location

5108 McPherson Rd Ste 101-B
Laredo, TX 78041-7321

Mailing address

5108 McPherson Rd Ste 101-B
Laredo, TX 78041-7321
Phone (956) 291-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001672 TX Order and Referring Only - Nurse Practitioner 0547418121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
708044TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. PastSince Sep 21, 2025 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": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1831915487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 MCPHERSON RD STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417321",
            "telephone_number": "956-291-3090",
            "fax_number": "956-804-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 MCPHERSON RD STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417321",
            "telephone_number": "956-291-3090",
            "fax_number": "956-804-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ISAIAS",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1182259",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "708044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.