Individual provider Active NPI

Sheily M Torres Santiago, PSY. D

  • Clinical Psychologist
  • San Antonio, PR
National Provider Identifier
1265260160
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8061 Issued in PR
Practice address
60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690
Phone
(787) 600-0353
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 8061 PR Primary

Addresses

Primary practice location

60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690

Mailing address

60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690
Phone (787) 600-0353

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
I20250919002217 PR Practitioner - Clinical Psychologist 1658875844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

60401 PMB 46 Post and Shop
Carretera 110 KM 29.2
San Antonio, PR 00690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8061PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Opciones Psicoeducativas Inc CurrentSince Jul 17, 2025 Accepting new patients
Opciones Psicoeducativas PastSince Jul 17, 2025 Accepting new patients

Locations

55 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 265-5583

55 Calle Dr Basora N
Ste 201
Mayaguez, PR 00680
Phone (787) 265-5583

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1265260160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60401 PMB 46",
            "address_2": "CARR. 110 KM 29.2",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-600-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60401 PMB 46",
            "address_2": "CARR. 110 KM 29.2",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-600-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES SANTIAGO",
        "first_name": "SHEILY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, PR

Sources for this page

Verify at the official NPI Registry.