Carlos Javier Feal Santiago

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22318 Issued in PR

Practice address

Urb. Cambridge Park
D6, Plaza 12
San Juan, PUERTO RICO 00926
UM

Phone

(787) 447-7207

NPI assigned

Mar 21, 2019

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Medicare reassignment NPD
• Mennonite General Hospital Inc.

  dba Centro de Salud Conductual Menonita CIMA-Ponce

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD
• Mennonite General Hospital Inc.

  dba Centro de Salud Conductual Menonita CIMA Orocovis

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orocovis, PR
  • NPI 1730544081
  NPD
• Mennonite General Hospital, Inc

  dba Centro de Salud Conductual Menonita ambulatorio Guayama

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guayama, PR
  • NPI 1952967564
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1306306741",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB. CAMBRIDGE PARK",
            "address_2": "D6, PLAZA 12",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00926"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "URB. CAMBRIDGE PARK",
            "address_2": "D6, PLAZA 12",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00926",
            "telephone_number": "787-447-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAL SANTIAGO",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.