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Physician Compare National (NPI:1770928046)

HEALTHCARE PROVIDER: ARTEMIO SAMUEL SANTIAGO-MOLINA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1770928046
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9931441748
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190426001390
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SANTIAGO-MOLINA
Individual professional last name
Provider First Name ARTEMIO
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty GASTROENTEROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4183602832
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 39
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address AVE PONCE DE LEON 715 STOP
Group Practice or individual's line 1 address
Line 2 Street Address 5 NEUROCIRUJANOS AUXILIO MUTUO
Group Practice or individual's line 2 address
City SAN JUAN
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 00918
Group Practice or individual's zip code (9 digits when available)
Phone Number 7877582000
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 400016
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 AUXILIO MUTUO HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 400012
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOSPITAL ONCOLOGICO DR ISAAC GONZALEZ MARTINEZ
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 400128
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 HOSPITAL PAVIA HATO REY, INC
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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