Individual provider Active NPI

Paola Maria Santiago Acosta

  • Psychologist
  • San Juan, PR
National Provider Identifier
1508566175
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7626 Issued in PR
Practice address
623 Avenida Ponce de Leon Edificio Executive Tower
Suite 401a
San Juan, PR 00926
Phone
(787) 697-1005
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7626 PR Primary

Addresses

Primary practice location

623 Avenida Ponce de Leon Edificio Executive Tower
Suite 401a
San Juan, PR 00926

Mailing address

C Calle 14 Apt C203
San Juan, PR 00926-6243
Phone (787) 697-1005

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

LicenseStateTypeSpecialty
7626PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Psychology Center Psychologist CurrentSince Mar 5, 2023 Accepting new patients
En Bienestar, LLC Psychologist Current Accepting new patients

Locations

623 Ave Ponce de Leon
Ste 401A
San Juan, PR 00917
Phone (787) 697-1005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1508566175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C CALLE 14 APT C203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266243",
            "telephone_number": "787-697-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 AVENIDA PONCE DE LEON EDIFICIO EXECUTIVE TOWER",
            "address_2": "SUITE 401A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-697-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO ACOSTA",
        "first_name": "PAOLA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7626",
            "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 Mar 5, 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.

Verify at the official NPI Registry.