Heriberto Santiago Martinez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2094 Issued in PR

Practice address

1 Calle San Antonio N
Guayama, PR 00784-4719

Phone

(787) 866-3777

Fax

(787) 686-6010

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1922094150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3139",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007853139",
            "telephone_number": "787-866-3777",
            "fax_number": "787-686-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SAN ANTONIO N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844719",
            "telephone_number": "787-866-3777",
            "fax_number": "787-686-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MARTINEZ",
        "first_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Ambulance
• Luis Alberto Santiago Caban, MD
• Arnaldo Santiago Diaz, MD
• Aurelio Santiago Fortier, M.D.
• Katia Santiago Ledee
• Carolina Mari Santiago Robles, PSYD
• Garimar Santiago Velez, MSW
• Lorena R Vazquez Santiago-Garcia, PSY.D.
• Carla V Santiago, MSW
• Marisel Santiago, M.D

• General Practice Dentistry in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.