Individual provider Active NPI

Luis Esteban Santiago-Torres, PSYD

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1730848680
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7272 Issued in PR
Practice address
175 Ave Algarrobo
Mayaguez, PR 00682-6331
Phone
(787) 834-6900
NPI assigned
Dec 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 7272 PR Primary

Addresses

Primary practice location

175 Ave Algarrobo
Mayaguez, PR 00682-6331

Mailing address

175 Ave Algarrobo
Mayaguez, PR 00682-6331
Phone (787) 834-6900

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

State licenses

LicenseStateTypeSpecialty
7272PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1730848680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 AVE ALGARROBO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826331",
            "telephone_number": "787-834-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AVE ALGARROBO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826331",
            "telephone_number": "787-834-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-TORRES",
        "first_name": "LUIS",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.