Active NPI
Lourdes E. Santana-Charriez, PSY.D., M.A.
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1164624466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1974
- Practice address
- 27 Calle Nelson Perea
Edificio Doctors Center, Suite 103
Mayaguez, PR 00680 - Phone
- (787) 360-4568
- NPI assigned
- May 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1974 | PR | Primary |
| Counseling Psychologist | 103TC1900X | 1974 | PR |
Addresses
Primary practice location
27 Calle Nelson Perea
Edificio Doctors Center, Suite 103
Mayaguez, PR 00680
Mailing address
PO Box 288
Lajas, PR 00667-0288
Phone (787) 360-4568
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1974 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1164624466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "LAJAS",
"state": "PR",
"postal_code": "006670288",
"telephone_number": "787-360-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CALLE NELSON PEREA",
"address_2": "EDIFICIO DOCTORS CENTER, SUITE 103",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-360-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA-CHARRIEZ",
"first_name": "LOURDES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D., M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1974",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "1974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Dimas Alejandro Santaella, D.M.D. PEDIATRIC
- Hamed Emilio Santaella, MD
- Ricardo Miguel Santaella, MD
- William Francisco Santaliz, M.D.
- Kevin Gabriel Santana Ramos, PSY.D
- Cloriam Santana, M.D.
- Franklin Santana Jr.
- Andrea Nicole Santiago Acevedo
- Gabriel Antonio Santiago Colberg, MD
- Rose Marie Santiago del Toro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.