Individual provider Active NPI

Emily Judith Rolon Santiago

  • Psychologist
  • Coamo, PR
National Provider Identifier
1649897265
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7615 Issued in PR
Practice address
Urb. Las Fuentes de Coamo
1234 Calle Santa Isabel
Coamo, PR 00769-9318
Phone
(787) 205-7784
NPI assigned
Jun 30, 2020
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7615 PR Primary

Addresses

Primary practice location

Urb. Las Fuentes de Coamo
1234 Calle Santa Isabel
Coamo, PR 00769-9318

Mailing address

Urb. Las Fuentes de Coamo
1234 Calle Santa Isabel
Coamo, PR 00769-9318
Phone (787) 205-7784

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
I20230816004237 PR Practitioner - Clinical Psychologist 2860854254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

6 Carr
31 KM
Juncos, PR 00777-3871
Phone (787) 737-2311

Calle Rafael Laza
Suite 32
Aguas Buenas, PR 00703
Phone (787) 737-2311

Carr 156 KM
Suite 3
Aguas Buenas, PR 00703
Phone (787) 737-2311

Carr 31 KM
2 El Duque Ward
Naguabo, PR 00718
Phone (787) 737-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
A&R Behavioral Associates PSC Psychologist CurrentSince Jul 1, 2023 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

2162 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 840-1110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1649897265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LAS FUENTES DE COAMO",
            "address_2": "1234 CALLE SANTA ISABEL",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699318",
            "telephone_number": "787-205-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LAS FUENTES DE COAMO",
            "address_2": "1234 CALLE SANTA ISABEL",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699318",
            "telephone_number": "787-205-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON SANTIAGO",
        "first_name": "EMILY",
        "middle_name": "JUDITH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.