Individual provider Active NPI

Bryan Colon Santiago, MRC

  • Rehabilitation Counselor
  • San Juan, PR
National Provider Identifier
1508637000
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
1636 Issued in PR
Practice address
Carr 844 Camino Los Pizarro
K, 0.7 Int Cupey Ward
San Juan, PR 00926
Phone
(787) 210-7793
NPI assigned
Jan 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1636 PR Primary

Addresses

Primary practice location

Carr 844 Camino Los Pizarro
K, 0.7 Int Cupey Ward
San Juan, PR 00926

Mailing address

RR 2 Box 7707
San Juan, PR 00926-9726
Phone (787) 210-7793

Other names 1

  • Mr. Bryan Colon Santiago Professional name

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

LicenseStateTypeSpecialty
1636PRMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1508637000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 7707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269726",
            "telephone_number": "787-210-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844 CAMINO LOS PIZARRO",
            "address_2": "K, 0.7 INT CUPEY WARD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-210-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON SANTIAGO",
        "first_name": "BRYAN",
        "credential": "MRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PR",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "COLON SANTIAGO",
            "prefix": "MR.",
            "credential": "MRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.