Provider Demographics
NPI:1639908056
Name:ALMENAS SANTIAGO, JOMARIES MASHALY (MASTERS SOCIAL WORK)
Entity type:Individual
Prefix:MS
First Name:JOMARIES
Middle Name:MASHALY
Last Name:ALMENAS SANTIAGO
Suffix:
Gender:F
Credentials:MASTERS SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXT PARQ ECUESTRE
Mailing Address - Street 2:CALLE 40 S19
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8631
Mailing Address - Country:US
Mailing Address - Phone:787-221-8922
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN PATRICIO
Practice Address - Street 2:#38
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-1742
Practice Address - Country:US
Practice Address - Phone:787-690-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR265421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty