DR. JUAN CARLOS MALPICA-SANTIAGO M.D.
NPI 1386959633
Internal Medicine - Pulmonary Disease in Guaynabo, PR

Active since August 11, 2010PECOS Enrolled
101 AVE SAN PATRICIO, SUITE 1240, GUAYNABO, PR 00968(787) 508-5445(787) 545-5127 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Juan Carlos Malpica-santiago M.d. NPPES

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

DR. JUAN CARLOS MALPICA-SANTIAGO M.D. (NPI 1386959633) is an individual pulmonary disease provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (18550) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1386959633
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JUAN CARLOS MALPICA-SANTIAGOCredential: M.D.
Location Address101 AVE SAN PATRICIO, SUITE 1240Guaynabo, PR 00968-3057
Mailing AddressSuite 1240 Maramar Plaza, 101 San Patricio AvenueGuaynabo, PR 00968-3057 · (787) 508-5445 · Fax (787) 545-5127
Fax(787) 545-5127
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 11, 2010
Last NPPES UpdateMarch 16, 2017
NPI 1386959633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PR · 18550
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 18550 (PR)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 18550 (PR)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Juan Carlos Malpica-santiago M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739405010
PECOS Enrollment IDI20150304000133
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services54 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
108 services59 patients
Test to measure largest amount of air breathed in an out 94200
This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.
104 services59 patients
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.
80 services23 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
54 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services16 patients

Hospital Affiliations CMS Care Compare

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

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00968 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 15

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$123.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers31 claims31 services$84.63 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers24 claims24 services$25.88 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers41 claims41 services$24.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers35 claims155 services$3.40 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
3 suppliers20 claims20 services$8.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (Pediatric Dentistry)
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1210
GUAYNABO, PR 00968
Registered Nurse
101 AVE SAN PATRICIO
GUAYNABO, PR 00968
Internal Medicine (Geriatric Medicine)
101 AVE SAN PATRICIO, SUITE 1010
GUAYNABO, PR 00968
Physical Medicine & Rehabilitation
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1150
GUAYNABO, PR 00968
Dentist (Periodontics)
101 AVE SAN PATRICIO, STE. 830
GUAYNABO, PR 00968
Obstetrics & Gynecology
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1090
GUAYNABO, PR 00968
Counselor (Mental Health)
101 AVE SAN PATRICIO
GUAYNABO, PR 00968
Internal Medicine (Pulmonary Disease)
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1250
GUAYNABO, PR 00968

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 Juan Malpica-santiago's NPI number?

The NPI number for Juan Malpica-santiago is 1386959633. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Juan Malpica-santiago located?

Juan Malpica-santiago practices at 101 Ave San Patricio Suite 1240, Guaynabo, PR 00968. The listed phone number is (787) 508-5445.

What is Juan Malpica-santiago's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Juan Malpica-santiago enrolled in Medicare?

Yes. Juan Malpica-santiago is registered in the Medicare PECOS enrollment system.

Is Juan Malpica-santiago affiliated with any hospitals?

According to CMS data, Juan Malpica-santiago is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Juan Malpica-santiago was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.