Juan Carlos Santiago de Jesus Jr., MD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4696 Issued in PR

Practice address

Ctiam, 500 PR-5
Bayamon, PR 00961

Phone

(787) 677-0141

NPI assigned

Aug 10, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1932837754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA CLARA, CALLE RESPLANDECIENTE",
            "address_2": "186",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-677-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CTIAM, 500 PR-5",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-677-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO DE JESUS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "4696",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "299040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932837754",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Santana
• Yohanna Santana
• Santaolayapharmacy
• Myrna Santiago Camacho
• Ariel Santiago Carrasquillo, M.D
• Jessica Santiago Garcia
• Nydia I Santiago Gonzales, AVD
• Roberto Jose Santiago Mendez, M.D
• Jean Luis Santiago Miranda, DC
• Eduardo Santiago Montes

• Addiction (Substance Use Disorder) Counselor in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Addiction (Substance Use Disorder) Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.