Active NPI
Jose Efrain Santiago Santiago
- General Practice Physician
- Cayey, PR
National Provider Identifier
1952398844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7671
- Practice address
- 170 Ave Munoz Rivera S
Cayey, PR 00736-4745 - Phone
- (787) 263-5653
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | |||
| General Practice Physician | 208D00000X | 7671 | PR | Primary |
Addresses
Primary practice location
170 Ave Munoz Rivera S
Cayey, PR 00736-4745
Mailing address
PO Box 371090
Cayey, PR 00737-1090
Phone (787) 738-6189
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220223000278 | PR | Practitioner - General Practice | 8921492620 | Practice locations: Cayey, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7671 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1952398844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371090",
"city": "CAYEY",
"state": "PR",
"postal_code": "007371090",
"telephone_number": "787-738-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 AVE MUNOZ RIVERA S",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364745",
"telephone_number": "787-263-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO SANTIAGO",
"first_name": "JOSE",
"middle_name": "EFRAIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "7671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.