Active NPI
Wilson Eddie Torres Santos, PSY. D
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1295220556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6151
- Practice address
- Calle Comercio #96 Local #3
Ponce, PR 00730 - Phone
- (787) 601-5246
- NPI assigned
- Jun 28, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6151 | PR | Primary |
Addresses
Primary practice location
Calle Comercio #96 Local #3
Ponce, PR 00730
Mailing address
Urb. Constancia 2919
Calle Vannina
Ponce, PR 00717
Phone (787) 601-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6151 | Other | PR | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200706000069 | PR | Practitioner - Clinical Psychologist | 3173946472 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
96 Calle Comercio
Ponce, PR 00730-5006
Phone (787) 601-5246
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": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1295220556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. CONSTANCIA 2919",
"address_2": "CALLE VANNINA",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-601-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE COMERCIO #96 LOCAL #3",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-601-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES SANTOS",
"first_name": "WILSON",
"middle_name": "EDDIE",
"name_prefix": "Dr.",
"credential": "PSY. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-28",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6151",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Jeitzel Torres Rodriguez
- Joan Jazmin Torres Rodriguez
- Korayma M Torres Rodriguez
- Lorna Mariela Torres Rosario, MD
- Patricia Torres Santiago
- Jeanette Vanessa Torres Serrant, CCC-SLP
- Michael Anthony Torres Silva
- Dennis W Torres Torres, PHARMD
- Jose Angel Torres Torres, PHARM.D., RPH
- Stephanie Torres Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.