Eunice Santiago Maldonado, MSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7628 Issued in PR

Practice address

Jose Vicente Street 606
Penuelas, PR 00624

Phone

(939) 248-2152

NPI assigned

Oct 6, 2010

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transforma Family Group Therapy LLC

  • Speech-Language Pathologist
  • Penuelas, PR
  • NPI 1528727898

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1063721116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA PROVIDENCIA 2408",
            "address_2": "CALLE SEQUEL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "399-248-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSE VICENTE STREET 606",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "939-248-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MALDONADO",
        "first_name": "EUNICE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7628",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Rodriguez Santiago, LCSW
• Ruca Corp.
• Luz Tarina Ruiz Velez, M.D.
• Lizvette Santiago Feliciano, MSW
• Merari Santiago Figueroa
• Idris Angellice Santiago Martinez, MSW
• Kathiana Santiago Pons
• Jose A Santiago Santiago, MD
• Juan G Santiago Vega, 17561
• Maritza Santiago, CPHT

• Clinical Psychologist in Penuelas, PR
• Providers in Penuelas, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.