Idris Angellice Santiago Martinez, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10002 Issued in PR

Practice address

Hc03Box11447
Penuelas, PR 00624-9513

Phone

(787) 590-4375

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Idris Santiago Martinez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1356651830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC03BOX11447",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249513",
            "telephone_number": "787-590-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC03BOX11447",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249513",
            "telephone_number": "787-590-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MARTINEZ",
        "first_name": "IDRIS",
        "middle_name": "ANGELLICE",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDRIS",
            "last_name": "MARTINEZ",
            "middle_name": "SANTIAGO",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ruca Corp.
• Luz Tarina Ruiz Velez, M.D.
• Lizvette Santiago Feliciano, MSW
• Merari Santiago Figueroa
• Eunice Santiago Maldonado, MSW
• Kathiana Santiago Pons
• Jose A Santiago Santiago, MD
• Juan G Santiago Vega, 17561
• Maritza Santiago, CPHT
• Kiyomi M Santos Onoda, M.D.

• Clinical Social Worker in Penuelas, PR
• Providers in Penuelas, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.