Individual provider Active NPI

Juan Carlos Ortiz Santiago, MD

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1942403084
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16828 Issued in PR
Practice address
Centro Comercial Los Prados
Suite E
Caguas, PR 00727-9507
Phone
(787) 961-0091
Fax
(787) 961-0045
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16828 PR Primary

Addresses

Primary practice location

Centro Comercial Los Prados
Suite E
Caguas, PR 00727-9507

Mailing address

29 Calle 2
Garden Hills Estates
Guaynabo, PR 00966-2907
Phone (787) 485-0419

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
I20071107000097 PR Practitioner - Internal Medicine 9638266737 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Centro Comercial Los Prados
Suite E
Caguas, PR 00727-9507
Phone (787) 961-0091

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16828PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cortes Physiatrist Services, PSC PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1942403084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE 2",
            "address_2": "GARDEN HILLS ESTATES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662907",
            "telephone_number": "787-485-0419",
            "fax_number": "787-961-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL LOS PRADOS",
            "address_2": "SUITE E",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279507",
            "telephone_number": "787-961-0091",
            "fax_number": "787-961-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ SANTIAGO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.