Joel Jose Seda Olmo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

05201358 Issued in PR

Practice address

Carr 111 KM 24.0 Int. Bo. Piedras Blancas
San Sebastian, PR 00685

Phone

(787) 313-1524

NPI assigned

May 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Land of Freedom Puerto Rico Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Sebastion, PR
  • NPI 1366310120
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1699340778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816206",
            "telephone_number": "787-313-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 24.0 INT. BO. PIEDRAS BLANCAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-313-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDA OLMO",
        "first_name": "JOEL",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "05201358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4125130",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125130",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janisse N Santiago-Gonzalez, O.D.
• Lory Beth Santiago
• Yamillette Santiago
• Yanira I. Santiago, RPH
• Jose Antonio Santisteban, O.D.
• Obdulio Segarra Velez
• Segarras Ambulance Inc
• Michelle A Seguinot
• Mineira Isabel Serrano Morales, PHD
• Jeannette Serrano, M.T.

• Addiction (Substance Use Disorder) Counselor in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Addiction (Substance Use Disorder) Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.