MEDICARE: SANTIAGO REYES FAMILY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1801737408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTIAGO REYES FAMILY SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 372984
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00737-2984
Country	:	US
Telephone Number	:	787-738-4539
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE JOSE DE DIEGO 153 POSTERIOR
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00736
Country	:	US
Telephone Number	:	787-738-4539
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. WILBERTO SANTIAGO RODRIGUEZ
Credential	:	MD
Telephone Number	:	787-738-4539

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	06/11/2026

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