Johalys Marie Santiago

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2222-2 Issued in PR

Practice address

Las Vegas Mall Local DD-2
Vega Baja, PR 00693

Phone

(787) 915-3000

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1457984973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140053",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS VEGAS MALL LOCAL DD-2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-915-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOHALYS",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "2222-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "6746664",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Luis Santiago Cordero, PHARMD
• Gabriela Nicolle Santiago Rodriguez, DMD
• Wanda L. Santiago-Perez, RPH
• Gladys Santiago-Torres, RPH
• Eneisha I Santiago-Velez, PHARM D
• Rose M Santiago
• Stephanie Santos Monserrate, BS
• Josue Segarra Lucena, MD
• Suheily Serrano Marrero, PSYD
• Sonia Valentin Serrano

• Occupational Therapy Assistant in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Occupational Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.