Active NPI
Raquel Maria Santaliz, PSY.D
- Clinical Psychologist
- Rio Grande, PR
National Provider Identifier
1174764815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3307
- Practice address
- Aa-14 Marginal Carr. #3
Alturas de Rio Grande
Rio Grande, PR 00745 - Phone
- (787) 934-1567
- NPI assigned
- Mar 10, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3307 | PR | Primary |
Addresses
Primary practice location
Aa-14 Marginal Carr. #3
Alturas de Rio Grande
Rio Grande, PR 00745
Mailing address
220 Western Auto Plaza Suite 101
PMB 122
Trujillo Alto, PR 00976
Phone (787) 370-9289
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3307 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1174764815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WESTERN AUTO PLAZA SUITE 101",
"address_2": "PMB 122",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-370-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AA-14 MARGINAL CARR. #3",
"address_2": "ALTURAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-934-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTALIZ",
"first_name": "RAQUEL",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.