Individual provider Active NPI

David Santiago, OD

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1902066608
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
140 Issued in PR
Practice address
Ft Buchanan Exchange Building 689, Ft Buchanan
Guaynabo, PR 00934
Phone
(787) 781-6721
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 140 PR
Optometrist 152W00000X 140 PR Primary

Addresses

Primary practice location

Ft Buchanan Exchange Building 689, Ft Buchanan
Guaynabo, PR 00934

Mailing address

J6 Calle Argentina
Guaynabo, PR 00969-3418
Phone (407) 719-7770

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000611 PR Practitioner - Optometry 8729119458 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ft Buchanan BLDG 689 S Terminal Rd
Vision Solution LLC
Guaynabo, PR 00969
Phone (787) 781-6721

Optometry Care
Ft Buchanan BLD 689 South Terminal Road
Guaynabo, PR 00969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140PRMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Maestros de P R CurrentSince Jun 12, 2018 Accepting new patients
Vision Solution LLC Optometrist Past Accepting new patients
La Nueva Optica Optometrist Past Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1902066608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J6 CALLE ARGENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693418",
            "telephone_number": "407-719-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT BUCHANAN EXCHANGE BUILDING 689, FT BUCHANAN",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00934",
            "telephone_number": "787-781-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "140",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.