Gerardo Luis Santiago-Alicea, MD
General Practice in San Juan, PR. Individual provider (NPI-1).
NPI number1407238751
StatusActive
Last updated in NPPESAug 9, 2017
Details
- NPI
- 1407238751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gerardo Luis Santiago-Alicea
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2015
- Last updated
- Aug 9, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 19754 | PR | Yes |
Practice location
550 Calle Sergio Cuevas Bustamente, Ave DomenechSan Juan, PR 00918
Phone 787-758-8383 · Fax 787-763-9758
Mailing address
100 Calle Alcala Apt 1702San Juan, PR 00921-3928
Phone 787-519-6526
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