Chago V Matos Santiago, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4014 Issued in PR

Practice address

Iturregui Plaza 65 Infanteria
Suite 217-B
San Juan, PR 00924

Phone

(787) 701-2626

Fax

(787) 768-8094

NPI assigned

Aug 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1205116381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAZA 65 INFANTERIA",
            "address_2": "SUITE 217-B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-701-2626",
            "fax_number": "787-768-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAZA 65 INFANTERIA",
            "address_2": "SUITE 217-B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-701-2626",
            "fax_number": "787-768-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS SANTIAGO",
        "first_name": "CHAGO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amidcar Jose Matos Irizarry, PSYD
• Gabriela Matos Maldonado, PHARMD
• Nancy Matos Ramos
• Zabdiel Matos Reyes, PHARMD
• Linka Matos Rivera, M.D.
• Nelson Domingo Matos-Luciano, M.D.
• Miriam Matos-Matos, M.D.
• Carla M Matos-Rodriguez, M.D.
• William Matos-Santiago, M.D.
• Beatriz Matos-Zapata, PH.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.