Active NPI
Yarelis Marie Dumeng Santiago, MD
- Pediatrics Physician
- Mayaguez, PR
National Provider Identifier
1841846516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22250
- Practice address
- 15 Calle Dr Basora N
Mayaguez, PR 00680-4833 - Phone
- (787) 834-0101
- NPI assigned
- Aug 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22250 | PR | Primary |
| Pediatrics Physician | 208000000X | 34104R | PR |
Addresses
Primary practice location
15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Mailing address
PO Box 533
Isabela, PR 00662-0533
Phone (787) 629-7898
Other practice location 1
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080 ext. 1649
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 |
|---|---|---|---|
| 22250 | PR | MD | Pediatrics Physician |
| 34104R | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Mayaguez Inc | 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": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1841846516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 533",
"city": "ISABELA",
"state": "PR",
"postal_code": "006620533",
"telephone_number": "787-629-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804833",
"telephone_number": "787-834-0101"
}
],
"practiceLocations": [
{
"address_1": "917 Ave Tito Castro",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007164717",
"country_code": "US",
"telephone_number": "787-844-2080 x1649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUMENG SANTIAGO",
"first_name": "YARELIS",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-17",
"last_updated": "2022-07-26",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "22250",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "34104R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.