Individual provider Active NPI

Rocheli Cristi Santiago-Troche, PH.D.

  • Clinical Psychologist
  • Dorado, PR
National Provider Identifier
1407053622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2814 Issued in PR
Practice address
Ave. Mendez Vigo #332
Dorado, PR 00646
Phone
(787) 632-3990
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2814 PR Primary

Addresses

Primary practice location

Ave. Mendez Vigo #332
Dorado, PR 00646

Mailing address

560 Calle Napoles Apt 5B
San Juan, PR 00924-4074
Phone (787) 632-3990

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
I20070905000250 PR Practitioner - Clinical Psychologist 2163515305 Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

332 Calle Mendez Vigo
Dorado, PR 00646-4931
Phone (787) 632-3990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2814PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407053622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CALLE NAPOLES APT 5B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244074",
            "telephone_number": "787-632-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MENDEZ VIGO #332",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-632-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-TROCHE",
        "first_name": "ROCHELI",
        "middle_name": "CRISTI",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.