Active NPI
Brenda L Santiago, S.W.
- Social Worker
- Carolina, PR
National Provider Identifier
1235570946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20555
- Practice address
- Urb. Villa Carolina Calle 535
Bloq. 195 #4
Carolina, PR 00987 - Phone
- (787) 690-2861
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 20555 | PR | Primary |
Addresses
Primary practice location
Urb. Villa Carolina Calle 535
Bloq. 195 #4
Carolina, PR 00987
Mailing address
PO Box 9258
Carolina, PR 00988-9258
Phone (787) 690-2861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2660201 | Other | PR | LICENCIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20555 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1235570946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9258",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009889258",
"telephone_number": "787-690-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. VILLA CAROLINA CALLE 535",
"address_2": "BLOQ. 195 #4",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-690-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "BRENDA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "20555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA",
"identifier": "2660201",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.