Victor Manuel Santiago Noa, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4353 Issued in PR

Practice address

2001 N Front St
Ste. 324-326
Harrisburg, PA 17102-2118

Phone

(717) 903-8277

Fax

(717) 566-3320

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Centro de Servicios Primarios de Salud Inc

  • Federally Qualified Health Center (FQHC)
  • Florida, PR
  • NPI 1104896190
  Medicare reassignment NPD
• Centro de Servicios Primarios de Salud,Inc.

  • Community Health Clinic/Center
  • Florida, PR
  • NPI 1235394305
  NPD
• Alternative Consulting Enterprises LLC

  • Community/Behavioral Health Agency
  • Shillington, PA
  • NPI 1831195932
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1912049909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 MAIN ST",
            "address_2": "HARRISBURG",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128975",
            "telephone_number": "717-903-8277",
            "fax_number": "717-566-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N FRONT ST",
            "address_2": "STE. 324-326",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022118",
            "telephone_number": "717-903-8277",
            "fax_number": "717-566-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO NOA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "4353",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008741980005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blandine Wendpouire Sandwidi, CRNP
• Akshata Dilip Sanghavi, MPT
• Ali Sanjari Moghaddam, M.D.
• Julie E Santana, BA
• Sante Integrative Medicine, LLC (Sante Integrative Medicine)
• Julia Santiago
• Maria Vaneeza Santiago, CRNP
• Evalina Santos, LSW
• Samantha Katrina Naval Santos, M.D.
• Donald E Santry, DMD

• Child & Adolescent Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.