Individual provider Active NPI

Geisla Zayas Santiago, MD

  • Pediatrics Physician
  • Laredo, TX
National Provider Identifier
1881109585
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T8697 Issued in TX
Practice address
3507 Jaime Zapata Memorial Hwy Ste 5
Laredo, TX 78043-4770
Phone
(956) 726-9252
Fax
(956) 753-3442
NPI assigned
Dec 5, 2017
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T8697 TX Primary
General Practice Physician 208D00000X 19798 PR
General Practice Physician 208D00000X 14132-I PR

Addresses

Primary practice location

3507 Jaime Zapata Memorial Hwy Ste 5
Laredo, TX 78043-4770

Mailing address

C2 Calle 3
Urb Villa Cristina
Coamo, PR 00769
Phone (787) 988-9979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240603001343 TX Practitioner - Pediatric Medicine 6204378557 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8697TXMDPediatrics Physician
14132-IPRMDGeneral Practice Physician
19798PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince May 15, 2024 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince May 15, 2024 Accepting new patients
Laredo Pediatrics & Neonatology PA Pediatrics PastSince Nov 6, 2022 Accepting new patients

Locations

3509 Garth Rd
Baytown, TX 77521
Phone (832) 548-5215

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1881109585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C2 CALLE 3",
            "address_2": "URB VILLA CRISTINA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-988-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434770",
            "telephone_number": "956-726-9252",
            "fax_number": "956-753-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS SANTIAGO",
        "first_name": "GEISLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T8697",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19798",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14132-I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.