Individual provider Active NPI

Rosael Zeno Santi, PSY.D

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1104054485
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3414 Issued in PR
Practice address
#120 Ave. Las Cumbres
Guaynabo Medical Mall Suite 201
Guaynabo, PR 00969-5635
Phone
(787) 249-4121
Fax
(787) 880-2756
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3414 PR Primary

Addresses

Primary practice location

#120 Ave. Las Cumbres
Guaynabo Medical Mall Suite 201
Guaynabo, PR 00969-5635

Mailing address

P.O. Box
9117
Bayamon, PR 00960-9117
Phone (787) 960-0654

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000398 PR Practitioner - Clinical Psychologist 5294878088 Practice locations: Toa Alta, PR

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1104054485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX",
            "address_2": "9117",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609117",
            "telephone_number": "787-960-0654",
            "fax_number": "787-880-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#120 AVE. LAS CUMBRES",
            "address_2": "GUAYNABO MEDICAL MALL SUITE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695635",
            "telephone_number": "787-249-4121",
            "fax_number": "787-880-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENO SANTI",
        "first_name": "ROSAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.