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DR. MONICA CESPEDES SANTANA MD
NPI 1114204161
Internal Medicine - Infectious Disease in San Juan, PR

Active since November 04, 2011PECOS EnrolledAccepts Medicare Assignment
29 CALLE WASHINGTON STE 505, SAN JUAN, PR 00907(787) 342-2784 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Mar 3, 2020, May 1, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Monica Cespedes Santana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONICA CESPEDES SANTANA MD (NPI 1114204161) is an individual infectious disease provider in San Juan, Puerto Rico, licensed in Puerto Rico (19282) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1114204161
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MONICA CESPEDES SANTANACredential: MD
Location Address29 CALLE WASHINGTON STE 505San Juan, PR 00907-1521
Mailing Address3307 Ave Isla Verde Apt 703aCarolina, PR 00979-4966
Phone(787) 342-2784
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 4, 2011
Last NPPES UpdateDecember 23, 20256 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1114204161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in PR · 19282✔ Licensed in KS · 0451570✔ Licensed in FL · ME163401✔ Licensed in NY · 300953
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Practice Location 1

Location 14525 W 6th St Ste 100Lawrence, KS 66049-7700 · Phone (785) 505-5160 · Fax (785) 505-5282

Other Identifiers 1

Other19282PR · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monica Cespedes Santana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214212653
PECOS Enrollment IDI20170518001036, I20221008000304, I20221215000052, I20230808000268, I20251027002887
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services30 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
47 services45 patients
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406
A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.
45 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims143 services$9.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Cespedes Santana's NPI number?

The NPI number for Monica Cespedes Santana is 1114204161. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Monica Cespedes Santana located?

Monica Cespedes Santana practices at 29 Calle Washington Ste 505, San Juan, PR 00907. The listed phone number is (787) 342-2784.

What is Monica Cespedes Santana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Monica Cespedes Santana enrolled in Medicare?

Yes. Monica Cespedes Santana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monica Cespedes Santana accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Kansas City and 6 other insurers list Monica Cespedes Santana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Monica Cespedes Santana affiliated with any hospitals?

According to CMS data, Monica Cespedes Santana is affiliated with St Joseph Regional Medical Center, Clearwater Valley Hospital & Clinics, Lmh, Exeter Hospital Inc and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Monica Cespedes Santana was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.