Active NPI
Jean Carlos Santiago Colon
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1841073210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16411
- Practice address
- Hospital Psiquiatria Forenses Ave. Tito Castro #931
Ponce, PR 00716-4717 - Phone
- (787) 844-0210
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16411 | PR | Primary |
Addresses
Primary practice location
Hospital Psiquiatria Forenses Ave. Tito Castro #931
Ponce, PR 00716-4717
Mailing address
Calle Miguel Gonzalez 3980 Nueva Vida, El Tuque
Ponce, PR 00728
Phone (787) 901-5826
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1841073210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE MIGUEL GONZALEZ 3980 NUEVA VIDA, EL TUQUE",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-901-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL PSIQUIATRIA FORENSES AVE. TITO CASTRO #931",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO COLON",
"first_name": "JEAN CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "16411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Jessica Santiago Burgos
- William Santiago Butler, M.D.,
- Alejandra Sofia Santiago Casanova, PHARMACIST
- Ariana Carolina Santiago Casanova
- Gabriela Isabel Santiago Casanova, MD STUDENT
- Keiry Nicole Santiago Colon
- Manuel Santiago Cummings, M.D.
- Sharlene Sylvette Santiago Diaz
- Julia Y Santiago Estrada
- Nilda Santiago Garcia, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.