Individual provider Active NPI

Gustavo Santiago Borges, MD

  • Internal Medicine Physician
  • Lares, PR
National Provider Identifier
1841743838
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19730 Issued in PR
Practice address
HC 4 Box 43795
Lares, PR 00669
Phone
(787) 621-3700
NPI assigned
Jul 26, 2016
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19730 PR Primary

Addresses

Primary practice location

HC 4 Box 43795
Lares, PR 00669

Mailing address

HC 4 Box 43795
Lares, PR 00669-9436
Phone (787) 621-3700

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
I20190308001659 PR Practitioner - Internal MedicinePractitioner - General Practice 2860731817 Reassigns benefits to 2 organizations
Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19730PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Caguas Inc CurrentSince Jan 11, 2025 Accepting new patients
Gsbim LLC Internal Medicine CurrentSince Feb 11, 2024 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jan 11, 2025 Accepting new patients
Nieves Internal Medicine Health Internal Medicine CurrentSince Mar 9, 2024 Accepting new patients
Hospital Menonita Caguas Inc Past Accepting new patients
SHC Owner LLC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1841743838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 43795",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699436",
            "telephone_number": "787-621-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 43795",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO BORGES",
        "first_name": "GUSTAVO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.