Individual provider Active NPI

Lizzedia M Santana, MS

  • Counseling Psychologist
  • Barceloneta, PR
National Provider Identifier
1124131107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2366 Issued in PR
Practice address
20 Urb Catalana
Barceloneta, PR 00617-2774
Phone
(787) 473-7332
Fax
(787) 286-1128
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2366 PR Primary

Addresses

Primary practice location

20 Urb Catalana
Barceloneta, PR 00617-2774

Mailing address

2313 Cond Vista Real II
Caguas, PR 00727-7855
Phone (787) 473-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Interoperability endpoints

  • Direct secure messaging: lizzedia.santana.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124131107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 COND VISTA REAL II",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007277855",
            "telephone_number": "787-473-7332",
            "fax_number": "787-286-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 URB CATALANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172774",
            "telephone_number": "787-473-7332",
            "fax_number": "787-286-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "LIZZEDIA",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.