Individual provider Active NPI

Sonia Ivette Santiago Mateo, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1992777262
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9136 Issued in PR
Practice address
1935 Avenida Las Americas
Ponce, PR 00728-1815
Phone
(787) 843-7808
Fax
(787) 813-0798
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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 9136 PR Primary

Addresses

Primary practice location

1935 Avenida Las Americas
Ponce, PR 00728-1815

Mailing address

PO Box 9016
Ponce, PR 00732-9016
Phone (787) 843-7808

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
I20100819000631 PR Practitioner - Internal Medicine 5799819280 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 Ave Las Americas
Ponce, PR 00728
Phone (787) 843-7808

Hospital & facility affiliations

  • Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Removal of tissue200
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Internal Medicine Group, Inc. Internal Medicine PastSince Sep 19, 2013 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 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1992777262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9016",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007329016",
            "telephone_number": "787-843-7808",
            "fax_number": "787-813-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 AVENIDA LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281815",
            "telephone_number": "787-843-7808",
            "fax_number": "787-813-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MATEO",
        "first_name": "SONIA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.