Active NPI
Marian Santiago
- Psychologist
- Loiza, PR
National Provider Identifier
1770177206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6908
- Practice address
- 61 Calle San Patricio
Loiza, PR 00772-1750 - Phone
- (787) 310-4397
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6908 | PR | Primary |
Addresses
Primary practice location
61 Calle San Patricio
Loiza, PR 00772-1750
Mailing address
503 Calle Modesta Apt 1904
San Juan, PR 00924-4559
Phone (787) 645-6005
Other practice location 1
503 Calle Modesta Apt 1904
San Juan, PR 00924-4559
Phone (787) 645-6005
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | santiagomarianpsicologapr@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414001133 | PR | Practitioner - Psychologist Billing Independently | 0446668362 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6908 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1770177206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CALLE MODESTA APT 1904",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009244559",
"telephone_number": "787-645-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CALLE SAN PATRICIO",
"city": "LOIZA",
"state": "PR",
"postal_code": "007721750",
"telephone_number": "787-310-4397"
}
],
"practiceLocations": [
{
"address_1": "503 Calle Modesta Apt 1904",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009244559",
"country_code": "US",
"telephone_number": "787-645-6005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MARIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6908",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "santiagomarianpsicologapr@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "503 Calle Modesta Apt 1904",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "009244559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Loiza, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.