DR. MONICA CESPEDES SANTANA MD
NPI 1114204161
Internal Medicine - Infectious Disease in San Juan, PR
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
28Medicare enrollment records show Monica Cespedes Santana reassigns Medicare billing to 28 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chilton, WI 53014
- Reassigned Medicare billing, Wisconsin enrollment
- 140 clinicians in this Medicare group
Appleton, WI 54915
- Reassigned Medicare billing, Wisconsin enrollment
- 194 clinicians in this Medicare group
Eagle River, WI 54521
- Reassigned Medicare billing, Wisconsin enrollment
- 262 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1033411822 (Michigan)
- 187 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 244 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 264 clinicians in this Medicare group
Ontonagon, MI 49953
- Reassigned Medicare billing, Michigan enrollment
- 210 clinicians in this Medicare group
Rib Lake, WI 54470
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1104922814 (Wisconsin)
- 376 clinicians in this Medicare group
Merrill, WI 54452
- Reassigned Medicare billing, Wisconsin enrollment
- 351 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, IDClearwater Valley Hospital & Clinics
Critical Access Hospitals · Orofino, IDLmh
Acute Care Hospitals · Lawrence, KSExeter Hospital Inc
Acute Care Hospitals · Exeter, NHTri-State Memorial Hospital
Critical Access Hospitals · Clarkston, WAPhysician 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.
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.
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.
Which organizations bill Medicare for Monica Cespedes Santana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Cespedes Santana reassigns Medicare benefits to 28 organizations: Ascension Calumet Hospital, Inc (Chilton, WI), Ascension NE Wisconsin, Inc (Appleton, WI), Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, WI), Aspirus Iron River Hospital & Clinics, Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI) and 23 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Cespedes Santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Cespedes Santana accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 11 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 10 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.
# Dr. Monica Cespedes Santana, MD · NPI 1114204161
Infectious Disease physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since November 4, 2011.
## Identity
- **NPI:** 1114204161 (Entity type: Individual)
- **Enumerated:** November 4, 2011
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 19282 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 29 CALLE WASHINGTON STE 505, San Juan, PR 00907-1521
- **Phone:** (787) 342-2784
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 28 organizations under Medicare reassignment (form CMS-855R): Ascension Calumet Hospital, Inc (NPI 1376541748, Chilton, WI); Ascension NE Wisconsin, Inc (NPI 1407803638, Appleton, WI); Aspirus Eagle River Hospital & Clinics, Inc. (NPI 1346204385, Eagle River, WI); Aspirus Iron River Hospital & Clinics, Inc. (NPI 1457865198, Iron River, MI); Aspirus Ironwood Hospital & Clinics Inc. (NPI 1073293999, Iron River, MI); and 23 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 23, 2025
- **Other identifiers:** Other 19282 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114204161) · Data from the CMS NPPES public registry.