Individual provider Active NPI

Maritza Gonzalez Santiago

  • Social Worker
  • San Juan, PR
National Provider Identifier
1083457279
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13662 Issued in PR
Practice address
875 Ave Munoz Rivera
San Juan, PR 00925-2107
Phone
(787) 444-9493
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13662 PR Primary

Addresses

Primary practice location

875 Ave Munoz Rivera
San Juan, PR 00925-2107

Mailing address

875 Ave Munoz Rivera
San Juan, PR 00925-2107
Phone (787) 444-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1083457279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252107",
            "telephone_number": "787-444-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252107",
            "telephone_number": "787-444-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SANTIAGO",
        "first_name": "MARITZA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "13662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.