Individual provider Active NPI

Amanda Santiago Matias

  • Clinical Social Worker
  • Rio Piedras, PR
National Provider Identifier
1265075758
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13929 Issued in PR
Practice address
Hospital Psiquiatrico Forense
Calle Cesar Teniente 1106 Centro Medico
Rio Piedras, PR 00960-7087
Phone
(787) 478-9519
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13929 PR Primary

Addresses

Primary practice location

Hospital Psiquiatrico Forense
Calle Cesar Teniente 1106 Centro Medico
Rio Piedras, PR 00960-7087

Mailing address

Hospital Psiquiatrico Forense
Calle Cesar Teniente 1106 Centro Medico
Rio Piedras, PR 00928
Phone (787) 478-9519

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1265075758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOSPITAL PSIQUIATRICO FORENSE",
            "address_2": "CALLE CESAR TENIENTE 1106 CENTRO MEDICO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-478-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PSIQUIATRICO FORENSE",
            "address_2": "CALLE CESAR TENIENTE 1106 CENTRO MEDICO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009607087",
            "telephone_number": "787-478-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MATIAS",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.