Active NPI
Malvaliz Santana Carrasquillo, PHD
- Psychologist
- San Juan, PR
National Provider Identifier
1285998922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4339
- Practice address
- 112 Calle Arzuaga Ste 802
San Juan, PR 00925-3318 - Phone
- (939) 437-0553
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4339 | PR | Primary |
Addresses
Primary practice location
112 Calle Arzuaga Ste 802
San Juan, PR 00925-3318
Mailing address
PO Box 21352
San Juan, PR 00931-1352
Phone (939) 437-0553
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4339 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1285998922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21352",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009311352",
"telephone_number": "939-437-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CALLE ARZUAGA STE 802",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009253318",
"telephone_number": "939-437-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA CARRASQUILLO",
"first_name": "MALVALIZ",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "4339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.