Active NPI
Gretcher Santiago Vazquez
- Psychologist
- San Juan, PR
National Provider Identifier
1467207274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7463
- Practice address
- PO Box 194807
San Juan, PR 00919-4807 - Phone
- (939) 539-4739
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 7463 | PR | Primary |
Addresses
Primary practice location
PO Box 194807
San Juan, PR 00919-4807
Mailing address
PO Box 533
Aguadilla, PR 00605-0533
Phone (787) 310-4656
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7463 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grillitos Therapy Group LLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1467207274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 533",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006050533",
"telephone_number": "787-310-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 194807",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009194807",
"telephone_number": "939-539-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO VAZQUEZ",
"first_name": "GRETCHER",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Laura Denisse Santiago Rodriguez
- Raiza Migdelys Santiago Rosario, PHARMD
- Michelangelo Santiago Sanchez, M.D.
- Octavio Santiago Santana, M.D.
- Ismael Santiago Soto
- Naidymar Santiago Vega
- Jonathan Joel Santiago-Acevedo, DC
- Gerardo Luis Santiago-Alicea, MD
- Edmarie Santiago-Aponte, PHARMD
- Michel Santiago-Berrios, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.