Active NPI
Liz M Santiago
- Psychologist
- Bayamon, PR
National Provider Identifier
1063854313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8585
- Practice address
- HF-16 Lizzie Graham Levittown
Bayamon, PR 00950 - Phone
- (787) 795-2935
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8585 | PR | Primary |
Addresses
Primary practice location
HF-16 Lizzie Graham Levittown
Bayamon, PR 00950
Mailing address
317 Calle Tapia
San Juan, PR 00912-4215
Phone (939) 266-5200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627001744 | PR | Order and Referring Only - Clinical Psychologist | 1456864099 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1063854313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CALLE TAPIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009124215",
"telephone_number": "939-266-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HF-16 LIZZIE GRAHAM LEVITTOWN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00950",
"telephone_number": "787-795-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "LIZ",
"middle_name": "M",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "8585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.