Idamari Santiago Castro, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5876 Issued in PR

Practice address

331 Calle Coll Y Toste Ste 2
San Juan, PR 00918-4026

Phone

(787) 902-0272

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1700325867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CALLE COLL Y TOSTE STE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184026",
            "telephone_number": "787-902-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CALLE COLL Y TOSTE STE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184026",
            "telephone_number": "787-902-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO CASTRO",
        "first_name": "IDAMARI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-04-30",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://espacioanalitico.business.site/",
            "affiliation": "N",
            "address_1": "331 Calle Coll Y Toste Ste 2",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009184026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Santiago Buono ER Services LLC
• Santiago Buono Medical Group & Hospitalist Services,PSC
• Ubaldo G Santiago Buono, M.D.
• Carla Marie Santiago Burgos, MD
• Ada Marie Santiago Carrion
• Axel Santiago Collazo
• Jorge Luis Santiago Colon, MD
• Luis J Santiago Colon, MD
• Solimar Santiago del Rosario
• Cinthia Santiago Diaz, LCDA.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Apr 30, 2024; 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.