Lisandra Santiago, PSY D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4208 Issued in PR

Practice address

114 Calle Nival
Hacienda Paloma
Luquillo, PR 00773-3047

Phone

(787) 235-1467

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1740223973
  Medicare reassignment
• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1861656845
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1619289402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CALLE NIVAL",
            "address_2": "HACIENDA PALOMA",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007733046",
            "telephone_number": "787-235-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE NIVAL",
            "address_2": "HACIENDA PALOMA",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007733047",
            "telephone_number": "787-235-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "LISANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rodriguez Rivera, MD
• Tania Rodriguez, MS, SLP
• Ana Marie Roman, EDD, MSW
• Jodys L Salgado Cintron, M.D.
• Josely Haydee Sanchez, CPL
• Seaguardians
• Taisha M Serrano
• Servi-Lab Inc
• Servicios de Salud En El Hogar El Nazareno Inc
• Servicios Para Mejorar la Salud Mental

• Clinical Psychologist in Luquillo, PR
• Providers in Luquillo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.