CAROLINA SANTIAGO MD
NPI 1215504170
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Carolina Santiago's NPI number?

The NPI number for Carolina Santiago is 1215504170. It was assigned to this individual provider in the NPPES registry on June 9, 2021. The provider is also known as Carolina Andrade Santivanez MD.

Q: What is Carolina Santiago's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carolina Santiago was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 09, 2021PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-9000 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolina Santiago Md NPPES

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

CAROLINA SANTIAGO MD (NPI 1215504170) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215504170

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCAROLINA SANTIAGOCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-9000

Phone(718) 920-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 9, 2021

NPPES CertifiedJune 9, 2021

✔ NPI 1215504170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Other Names 1

Former Name (1)Carolina Andrade Santivanez Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Santiago Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143761619

PECOS Enrollment IDI20240924003113

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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)