Individual provider Active NPI

Juan Sebastian Vidal-Santiago, MD

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1356983514
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22726 Issued in PR
Practice address
214 Calle Los Caobos
San Juan, PR 00927-4238
Phone
(787) 608-0980
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22726 PR Primary

Addresses

Primary practice location

214 Calle Los Caobos
San Juan, PR 00927-4238

Mailing address

214 Calle Los Caobos
San Juan, PR 00927-4238
Phone (787) 608-0980

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250625003630 PR Practitioner - Psychiatry 1153833967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22726PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. General Practice CurrentSince Apr 21, 2025 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Apr 21, 2025 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Instituto Psicoterapeutico de PR General Practice PastSince Apr 21, 2025 Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1356983514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CALLE LOS CAOBOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274238",
            "telephone_number": "787-608-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CALLE LOS CAOBOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274238",
            "telephone_number": "787-608-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL-SANTIAGO",
        "first_name": "JUAN",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.