Dr. Manuel R Santiago Dentist, PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2358 Issued in PR

Legal business name

DR. MANUEL R SANTIAGO DENTIST, PSC

Practice address

HG15 Calle Lizzie Graham
7Ma Seccion Levittwon
Toa Baja, PR 00949-3635

Phone

(787) 261-4670

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Texidor

Title

Administrator

Phone

(787) 409-0474

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Ramon Santiago, D.M.D

  • Dentist
  • Toa Baja, PR
  • NPI 1609096759
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1932309903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 AVE LAS COLINAS",
            "address_2": "SANTA PAULA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695904",
            "telephone_number": "787-272-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HG15 CALLE LIZZIE GRAHAM",
            "address_2": "7MA SECCION LEVITTWON",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493635",
            "telephone_number": "787-261-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MANUEL R SANTIAGO DENTIST, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "TEXIDOR",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-409-0474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan F Diaz
• Ana B Diciaccio-Valero, MA
• Rahumar Dieppa Vega, MD
• Digital Dentistry Group C.S.P.
• Yonnelis Dominguez
• Dream Team Chiropractic LLC
• Dreamlife Ambulance Corp
• E & E Diagnostic Services, Inc
• Ebj Orthotics & Medical Equipment, Inc.
• Edgardo Roman

• Dental Clinic/Center in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.