Active NPI
Olga Lissette Santiago, DR.
- Psychologist
- Humacao, PR
National Provider Identifier
1124454020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3954
- Practice address
- Calle Amatista E38
Apartado 170 Urbanizacion Mansiones del Caribe
Humacao, PR 00791 - Phone
- (787) 632-5038
- NPI assigned
- Sep 24, 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 | 3954 | PR | Primary |
Addresses
Primary practice location
Calle Amatista E38
Apartado 170 Urbanizacion Mansiones del Caribe
Humacao, PR 00791
Mailing address
Calle Escorpion 202
Urb. Brisas de Loiza
Canovanas, PR 00729
Phone (787) 632-5038
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3954 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1124454020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ESCORPION 202",
"address_2": "URB. BRISAS DE LOIZA",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-632-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE AMATISTA E38",
"address_2": "APARTADO 170 URBANIZACION MANSIONES DEL CARIBE",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-632-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "OLGA",
"middle_name": "LISSETTE",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.