Individual provider Active NPI

Alfredo Santiago Santa Ana Arcaraz, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1871577361
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9124 Issued in PR
Practice address
300 Calle Clemson
University Gardens
San Juan, PR 00927
Phone
(787) 754-6868
Fax
(787) 753-1550
NPI assigned
Nov 30, 2005
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9124 PR Primary

Addresses

Primary practice location

300 Calle Clemson
University Gardens
San Juan, PR 00927

Mailing address

P22 Calle El Torito
Colinas Metropolitanas
Guaynabo, PR 00969-5230
Phone (787) 790-8180

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
I20070226000145 PR Practitioner - General Practice 7416059282 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9124PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CMT Group, Corp CurrentSince Nov 1, 2017 Accepting new patients
PR Renal Health and Research Inc. CurrentSince Jul 21, 2019 Accepting new patients
Caribbean Medical Testing Center Past Accepting new patients

Locations

140 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 272-1292

609 Ave Tito Castro
Ponce, PR 00716
Phone (787) 840-6290

300 Calle Clemson
San Juan, PR 00927

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1871577361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P22 CALLE EL TORITO",
            "address_2": "COLINAS METROPOLITANAS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695230",
            "telephone_number": "787-790-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CALLE CLEMSON",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-754-6868",
            "fax_number": "787-753-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA ANA ARCARAZ",
        "first_name": "ALFREDO",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.