Individual provider Active NPI

Vicky Ortiz-Santiago, MS

  • Audiologist
  • San Juan, PR
National Provider Identifier
1861618282
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
565 Issued in PR
Practice address
Ave San Jorge 252
Suite 501
San Juan, PR 00912
Phone
(787) 268-2300
Fax
(787) 268-3055
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 837 PR
Audiologist 231H00000X 565 PR Primary

Addresses

Primary practice location

Ave San Jorge 252
Suite 501
San Juan, PR 00912

Mailing address

HC 1 Box 7801
Hatillo, PR 00659-9263
Phone (787) 878-8917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724003856 PR Practitioner - Qualified Audiologist 9739549601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
837PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Felix J Seda ENT PSC CurrentSince May 25, 2023 Accepting new patients
Centro Dermatologico Arecibo PastSince May 25, 2023 Accepting new patients
Carlos Gonzalez Aquino MD PSC Past Accepting new patients

Locations

65 Ave Barbosa
Ste 205
Arecibo, PR 00612
Phone (787) 608-2300

Organizations & group practices 3

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1861618282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 7801",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599263",
            "telephone_number": "787-878-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN JORGE 252",
            "address_2": "SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-268-2300",
            "fax_number": "787-268-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-SANTIAGO",
        "first_name": "VICKY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "837",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.