Individual provider Active NPI

Urda Mariela Sanchez Santiago, PHD

  • Clinical Psychologist
  • Juana Diaz, PR
National Provider Identifier
1780427823
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8038 Issued in PR
Practice address
Carr. 1 KM 113.9
Bo. Pastillo
Juana Diaz, PR 00795
Phone
(787) 580-7633
Fax
(787) 580-7633
NPI assigned
Jun 17, 2024
Last updated
Jul 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 8038 PR Primary

Addresses

Primary practice location

Carr. 1 KM 113.9
Bo. Pastillo
Juana Diaz, PR 00795

Mailing address

3119 Calle Palma
Santa Isabel, PR 00757-3202
Phone (939) 335-3611

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
I20250416004009 PR Practitioner - Clinical Psychologist 3476078965 Reassigns benefits to 1 organization
Practice locations: Juana Diaz, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8038PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psicosalud Consultants, LLC. CurrentSince Jan 1, 2026 Accepting new patients

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1780427823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CALLE PALMA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007573202",
            "telephone_number": "939-335-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 1 KM 113.9",
            "address_2": "BO. PASTILLO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-580-7633",
            "fax_number": "787-580-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ SANTIAGO",
        "first_name": "URDA",
        "middle_name": "MARIELA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.