Individual provider Active NPI

Marcos Gerardo Santos Rodriguez

  • Clinical Social Worker
  • Cayey, PR
National Provider Identifier
1861773244
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11798 Issued in PR
Practice address
Calle C a-1 Reparto Montellano
Cayey, PR 00737-1990
Phone
(787) 402-7428
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 11798 PR Primary

Addresses

Primary practice location

Calle C a-1 Reparto Montellano
Cayey, PR 00737-1990

Mailing address

PO Box 371990
Cayey, PR 00737-1990
Phone (787) 402-7428

Other practice location 1

D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 930-3144

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
I20251210000407 PR Practitioner - Clinical Social Worker 9234623067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

D12 Calle Mis Amores
Caguas, PR 00725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11798PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo, Inc. Clinical CurrentSince Nov 5, 2025 Accepting new patients
Centro Psicologico Ilo SE LLC CurrentSince Nov 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1861773244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371990",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371990",
            "telephone_number": "787-402-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE C A-1 REPARTO MONTELLANO",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371990",
            "telephone_number": "787-402-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "D12 Calle Mis Amores",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007255821",
            "country_code": "US",
            "telephone_number": "787-930-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS RODRIGUEZ",
        "first_name": "MARCOS",
        "middle_name": "GERARDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.