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ANDREA NICOLE ALVALLE SANTIAGO DMD
NPI 1699462580
Dentist - General Practice in Ponce, PR

Active since April 20, 2023PECOS Enrolled
1238 AVE MUNOZ RIVERA, PONCE, PR 00717(787) 840-2153 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Nicole Alvalle Santiago Dmd NPPES

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

ANDREA NICOLE ALVALLE SANTIAGO DMD (NPI 1699462580) is an individual general practice provider in Ponce, Puerto Rico, licensed in Puerto Rico (3518) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hartford.

NPPES Registry Identity

NPI1699462580
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameANDREA NICOLE ALVALLE SANTIAGOCredential: DMD
Location Address1238 AVE MUNOZ RIVERAPonce, PR 00717-0639
Mailing Address1238 Ave Munoz RiveraPonce, PR 00717-0639 · (787) 840-2153
Phone(787) 840-2153
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1699462580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 3518
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 11714 Burrstone RdNew Hartford, NY 13413-1002 · Phone (315) 624-6227

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Nicole Alvalle Santiago Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Alvalle Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Andrea Alvalle Dentist LLC
General Practice
1238 AVE MUNOZ RIVERA
Ponce, PR 00717
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1255165221 (787) 840-2153

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00717 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ANDREA ALVALLE DENTIST LLC
Dentist (General Practice)
1238 AVE MUNOZ RIVERA
PONCE, PR 00717
Ponce Municipio (787) 840-2153
SMILE CARE JCF
Dentist
1238 AVE MUNOZ RIVERA
PONCE, PR 00717
Ponce Municipio (787) 840-2153
DR. JOANINA CRESPO FLORES DMD
Dentist (General Practice)
1238 AVE MUNOZ RIVERA
PONCE, PR 00717
Ponce Municipio (787) 678-3465

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 Andrea Alvalle Santiago's NPI number?

The NPI number for Andrea Alvalle Santiago is 1699462580. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Andrea Alvalle Santiago located?

Andrea Alvalle Santiago practices at 1238 Ave Munoz Rivera, Ponce, PR 00717. The listed phone number is (787) 840-2153.

What is Andrea Alvalle Santiago's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrea Alvalle Santiago enrolled in Medicare?

Yes. Andrea Alvalle Santiago is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Alvalle Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Alvalle Santiago reassigns Medicare benefits to Andrea Alvalle Dentist LLC (Ponce, PR). The 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 Andrea Alvalle Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Alvalle Santiago was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.