Individual provider Active NPI

Joshua Noble-Santiago, MSW

  • Clinical Social Worker
  • Rio Piedras, PR
National Provider Identifier
1760958516
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13259 Issued in PR
Practice address
Iturregui Plaza Shopping Center Suite 17
Avenida 65 Infanteria 1135
Rio Piedras, PR 00924
Phone
(787) 769-7100
Fax
(787) 758-8936
NPI assigned
Oct 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13259 PR Primary

Addresses

Primary practice location

Iturregui Plaza Shopping Center Suite 17
Avenida 65 Infanteria 1135
Rio Piedras, PR 00924

Mailing address

Iturregui Plaza Shopping Center Suite 17
Avenida 65 Infanteria 1135
Rio Piedras, PR 00924
Phone (787) 769-7100

Other identifiers 1

IdentifierTypeStateIssuer
13259OtherPRSOCIAL WORKER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200713000908 PR Practitioner - Clinical Social Worker 6002239860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Apr 7, 2020 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Apr 7, 2020 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Instituto Psicoterapeutico de PR PastSince Apr 7, 2020 Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1760958516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAZA SHOPPING CENTER SUITE 17",
            "address_2": "AVENIDA 65 INFANTERIA 1135",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-769-7100",
            "fax_number": "787-758-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAZA SHOPPING CENTER SUITE 17",
            "address_2": "AVENIDA 65 INFANTERIA 1135",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-769-7100",
            "fax_number": "787-758-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE-SANTIAGO",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "13259",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.