Jose Alberto Irizarry Santiago, RCSWI
Individual provider Active NPI Clinical Social Worker · Mangonia Park, FL
NPI 1114813573 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1114813573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW19394 (FL)
- Practice address
- 1648 Lindley St
Mangonia Park, FL 33407-2123 - Phone
- (786) 960-4771
- NPI assigned
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW19394 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW19394 | FL | Yes |
Addresses
Primary practice location
1648 Lindley St
Mangonia Park, FL 33407-2123
Mailing address
1648 Lindley St
Mangonia Park, FL 33407-2123
Phone (786) 960-4771
Other names
- Mr. Santiago Alberto Irizarry Santiago
Other providers in Mangonia Park, FL
- Eshita Hoque
- I-Kare Treatment Center, LLC
- Bianca Iglesias
- Interventional Rehabilitation of South Florida, Inc
- Intrepid Detox Residential LLC
- Tiffany Jarrett
- Elizabeth Jerome
- Jessica Rose Jones
- Bryant Joseph
- Gaetjens Tardellie Joseph
All providers in Mangonia Park, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.