Axel Santiago Collazo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15921 Issued in PR

Practice address

Terrazas de San Jun
Calle Williams Bosch Apt 802
San Juan, PR 00924

Phone

(787) 641-7582

NPI assigned

Dec 8, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1821709023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TERRAZAS DE SAN JUN",
            "address_2": "CALLE WILLIAMS BOSCH APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TERRAZAS DE SAN JUN",
            "address_2": "CALLE WILLIAMS BOSCH APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO COLLAZO",
        "first_name": "AXEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Buono Medical Group & Hospitalist Services,PSC
• Ubaldo G Santiago Buono, M.D.
• Carla Marie Santiago Burgos, MD
• Ada Marie Santiago Carrion
• Idamari Santiago Castro, PH.D.
• Jorge Luis Santiago Colon, MD
• Luis J Santiago Colon, MD
• Solimar Santiago del Rosario
• Cinthia Santiago Diaz, LCDA.
• Rafael E Santiago Feliciano, MSW

• Clinical Social Worker in San Juan, PR
• Providers in San Juan, 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 Dec 16, 2022; 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.