Individual provider Active NPI

Zuleika Rosario Santiago, PSY D.

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1659695591
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3672 Issued in PR
Practice address
Street 23, Urb. El Cortijo
Ap-6
Bayamon, PR 00956-5714
Phone
(787) 797-6856
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3672 PR Primary

Addresses

Primary practice location

Street 23, Urb. El Cortijo
Ap-6
Bayamon, PR 00956-5714

Mailing address

St 23, Urb. El Cortijo
Ap-6
Bayamon, PR 00956-5714
Phone (787) 797-6856

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
I20100824000547 PR Practitioner - Clinical Psychologist 8224152574 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

73 Calle Santa Cruz
Suite 405
Bayamon, PR 00961-6942
Phone (787) 798-4592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3672PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sylma Batista MD PSC Past Accepting new patients
Santa Cruz Behavioral PSC Past Accepting new patients

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1659695591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST 23, URB. EL CORTIJO",
            "address_2": "AP-6",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009565714",
            "telephone_number": "787-797-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 23, URB. EL CORTIJO",
            "address_2": "AP-6",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009565714",
            "telephone_number": "787-797-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO SANTIAGO",
        "first_name": "ZULEIKA",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.