Individual provider Active NPI

Keiliany Rivera Santiago, PHD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1730986126
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8264 Issued in PR
Practice address
2808 Calle Cadiz
Urb Valle de Andalucia
Ponce, PR 00728-3102
Phone
(787) 485-8616
NPI assigned
Feb 25, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 8264 PR Primary

Addresses

Primary practice location

2808 Calle Cadiz
Urb Valle de Andalucia
Ponce, PR 00728-3102

Mailing address

2808 Calle Cadiz
Urb Valle de Andalucia
Ponce, PR 00728-3102
Phone (787) 485-8616

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
I20251126002488 PR Practitioner - Clinical Psychologist 4486146305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Calle Calaf
Suite 21
San Juan, PR 00918

Urb Valle de Andalucia
Calle Cadiz 2808
Ponce, PR 00728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8264PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Escucha Clinica, LLC Clinical CurrentSince Sep 18, 2025 Accepting new patients

Locations

2905 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 233-1960

98 Calle Mayaguez
San Juan, PR 00917
Phone (787) 405-5818

Organizations & group practices 1

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1730986126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 CALLE CADIZ",
            "address_2": "URB VALLE DE ANDALUCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007283102",
            "telephone_number": "787-485-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 CALLE CADIZ",
            "address_2": "URB VALLE DE ANDALUCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007283102",
            "telephone_number": "787-485-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTIAGO",
        "first_name": "KEILIANY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.