Individual provider Active NPI

Merary Vega Santiago, PSYD

  • Psychologist
  • Isabela, PR
National Provider Identifier
1235256397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2093 Issued in PR
Practice address
Carretera 474 KM 0.4 Felipe Mendez Barrio Coto
Isabela, PR 00662
Phone
(787) 872-3791
Fax
(787) 872-3791
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2093 PR Primary

Addresses

Primary practice location

Carretera 474 KM 0.4 Felipe Mendez Barrio Coto
Isabela, PR 00662

Mailing address

PMB 648 PO Box 5000
Camuy, PR 00627
Phone (787) 895-0737

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235256397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 648 PO BOX 5000",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-895-0737",
            "fax_number": "787-872-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 474 KM 0.4 FELIPE MENDEZ BARRIO COTO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-3791",
            "fax_number": "787-872-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA SANTIAGO",
        "first_name": "MERARY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.