Santiago Medical Group, Inc.
NPI 1790830339 · Pediatric Adolescent Medicine Physician · North Providence, RI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Santiago Medical Group, Inc. is a Pediatric Adolescent Medicine Physician organization in North Providence, RI (NPI 1790830339).
Provider details
- NPI number
- 1790830339
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miguel Fuentes, President(401) 312-0444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2009-07-15
Frequently asked questions
- What is Santiago Medical Group, Inc.'s NPI number?
- Santiago Medical Group, Inc.'s National Provider Identifier (NPI) is 1790830339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Santiago Medical Group, Inc.?
- Santiago Medical Group, Inc. is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Santiago Medical Group, Inc. located?
- Santiago Medical Group, Inc.'s practice location on file with NPPES is 967 Mineral Spring Avenue, North Providence, RI 02904-4934.
- What is Santiago Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Santiago Medical Group, Inc. is (401) 312-0444.
- Does Santiago Medical Group, Inc. accept Medicare?
- Santiago Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Santiago Medical Group, Inc.?
- The authorized official listed on Santiago Medical Group, Inc.'s NPPES record is Miguel Fuentes, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Santiago Medical Group, Inc.'s NPI active?
- Yes — Santiago Medical Group, Inc.'s NPI (1790830339) is active in the NPPES registry as of the last update on 2009-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.