Jeamy Liz Santos, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15452 Issued in PR

Practice address

San Alfonso
D12 Calle Mis Amores
Caguas, PR 00725

Phone

(787) 930-3144

NPI assigned

Aug 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindbloom Psychological Center, LLC.

  • Counseling Psychologist
  • Caguas, PR
  • NPI 1861203382
  Medicare reassignment NPD
• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1720760093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUNKER 17 CALLE PANAMA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-923-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN ALFONSO",
            "address_2": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PR3 KM 140.2",
            "address_2": "14 SAN VICENTE MALL BO JOBOS",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-558-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JEAMY",
        "middle_name": "LIZ",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armando Jose Santos, M.D.
• Clara M Santos, PT
• Elisaivette Santos
• Gustavo Rene Santos
• Irving Santos
• Monica S Santos, MD
• Vilmaris Santos, MPSY
• Veronica Santuche
• Sar Medical Services LLC
• Andres Sastre Fuente, MD

• Clinical Social Worker in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.