Jose D Santiago, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

8479 Issued in PR

Practice address

Hospital San Lucas
#Carr 14
Ponce, PR 00716

Phone

(787) 842-4883

Fax

(787) 842-4883

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1851373369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162232",
            "telephone_number": "787-842-4883",
            "fax_number": "787-842-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN LUCAS",
            "address_2": "#CARR 14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-842-4883",
            "fax_number": "787-842-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "8479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo Santiago
• Eligia Santiago, LPN
• Ian M Santiago
• Jorge Edgardo Santiago, DDS
• Jose Alberto Santiago Sr., CSW,
• Jose Miguel Santiago, MD
• Jose Oscar Santiago
• Lourdes Santiago, MD
• Marieliz Santiago
• Maritza Santiago, MD

• Pediatric Gastroenterology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatric Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.