Individual provider Active NPI

Frances Enid Ostolaza Santiago, PHD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1346913670
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7038 Issued in PR
Practice address
614 Villa Navarra Calle Garcia Ledesma
San Juan, PR 00924-3766
Phone
(787) 512-2058
NPI assigned
Aug 2, 2021
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7038 PR Primary
Health Service Psychologist 103TH0100X 7038 PR

Addresses

Primary practice location

614 Villa Navarra Calle Garcia Ledesma
San Juan, PR 00924-3766

Mailing address

614 Villa Navarra Calle Garcia Ledesma
San Juan, PR 00924-3766
Phone (787) 512-2058

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
I20220114000745 PR Practitioner - Clinical Psychologist 5395137764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr
188 187
Loiza, PR 00772-1850
Phone (787) 876-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7038PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Concilio de Salud Integral de Loiza, Inc. CurrentSince Sep 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1346913670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 VILLA NAVARRA CALLE GARCIA LEDESMA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243766",
            "telephone_number": "787-512-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 VILLA NAVARRA CALLE GARCIA LEDESMA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243766",
            "telephone_number": "787-512-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOLAZA SANTIAGO",
        "first_name": "FRANCES",
        "middle_name": "ENID",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7038",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "7038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.