Active NPI
Tamara Rodriguez Santiago, LCSW
- Clinical Social Worker
- Penuelas, PR
National Provider Identifier
1508484049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14598
- Practice address
- Calle Jose Vicente #606
Penuelas, PR 00624 - Phone
- (939) 992-9233
- NPI assigned
- Jul 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14598 | PR | Primary |
Addresses
Primary practice location
Calle Jose Vicente #606
Penuelas, PR 00624
Mailing address
837 Calle Alegria
Urbanizacion Sagrado Corazon
Penuelas, PR 00624
Phone (787) 462-8892
Other practice location 1
Calle Ferrocarril
Esquina Marina
Ponce, PR 00731
Phone (787) 977-5055
Other practice location 2
837 Calle Alegria
Urbanizacion Sagrado Corazon
Penuelas, PR 00624
Phone (787) 977-5055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14598 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transforma Family Group Therapy LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Penuelas, PR
- NPI 1528727898
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1508484049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 CALLE ALEGRIA",
"address_2": "URBANIZACION SAGRADO CORAZON",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-462-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JOSE VICENTE #606",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "939-992-9233"
}
],
"practiceLocations": [
{
"address_1": "Calle Ferrocarril",
"address_2": "Esquina Marina",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00731",
"country_code": "US",
"telephone_number": "787-977-5055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "837 Calle Alegria",
"address_2": "Urbanizacion Sagrado Corazon",
"address_purpose": "LOCATION",
"city": "Penuelas",
"state": "PR",
"postal_code": "00624",
"country_code": "US",
"telephone_number": "787-977-5055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ SANTIAGO",
"first_name": "TAMARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2023-06-28",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.