Active NPI
Vivian Santiago, MA
- Psychologist
- Cayey, PR
National Provider Identifier
1598079808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3052
- Practice address
- Ave. Miguel Melendez Munos, #14
Cayey, PR 00736 - Phone
- (787) 633-6768
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3052 | PR | Primary |
| Counseling Psychologist | 103TC1900X | 3052 | PR | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3052 | PR |
Addresses
Primary practice location
Ave. Miguel Melendez Munos, #14
Cayey, PR 00736
Mailing address
Paseo de la Ceiba, #109, Pomarrosa Street
Juncos, PR 00777
Phone (787) 633-6768
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3052 | PR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1598079808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO DE LA CEIBA, #109, POMARROSA STREET",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-633-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. MIGUEL MELENDEZ MUNOS, #14",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-633-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "VIVIAN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3052",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3052",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PR",
"license": "3052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.