Darysa Medina-Santiago, PH.D., MCR

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4579 Issued in PR

Practice address

344 Calle Hector Salaman
San Juan, PR 00918-2112

Phone

(787) 433-7708

NPI assigned

Apr 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1255750667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CALLE HECTOR SALAMAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182112",
            "telephone_number": "787-433-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CALLE HECTOR SALAMAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182112",
            "telephone_number": "787-433-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-SANTIAGO",
        "first_name": "DARYSA",
        "name_prefix": "Dr.",
        "credential": "PH.D., MCR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PR",
            "license": "1065",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadja Laura Medina Torres, M.S.-SLP
• Adrian Jose Medina Wezer, MD STUDENT
• Ana Rita Medina-Bravo, PHARMD
• Patricia I Medina-Rivera, PHARM. D
• Roberto Medina-Rivera, R.PH.
• Israel Medina-Tanco, SW
• Aida Eugenia Medina, MD
• Alejandra Medina, MD
• Alexandra Marie Medina, PSY.D.
• Angela M Medina, O.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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.