Individual provider Active NPI

Natya Trujillo Santos, PH.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1205014768
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2705 Issued in PR
Practice address
497 Ave Emiliano Pol
Urb. Las Cumbres #497
San Juan, PR 00926-5602
Phone
(787) 616-5449
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 2705 PR Primary

Addresses

Primary practice location

497 Ave Emiliano Pol
Urb. Las Cumbres #497
San Juan, PR 00926-5602

Mailing address

PMB 773, 497 Avenue Emiliano Pol
Urb. Las Cumbres #497
San Juan, PR 00926
Phone (787) 616-5449

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
I20140123000256 PR Practitioner - Clinical Psychologist 3173751047 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2705PRMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Feb 2, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. CurrentSince Feb 2, 2024 Accepting new patients
Neomed Center, Inc CurrentSince Nov 23, 2013 Accepting new patients
Neomed Center, Inc. CurrentSince Nov 23, 2013 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1205014768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 773, 497 AVENUE EMILIANO POL",
            "address_2": "URB. LAS CUMBRES #497",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-616-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 AVE EMILIANO POL",
            "address_2": "URB. LAS CUMBRES #497",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265602",
            "telephone_number": "787-616-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO SANTOS",
        "first_name": "NATYA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.