Individual provider Active NPI

Sandra Negron Santiago, PH D

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1790883403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1724 Issued in PR
Practice address
Villa Fontana Park
5X36 la Alianza
Carolina, PR 00985-0000
Phone
(787) 315-3226
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1724 PR Primary

Addresses

Primary practice location

Villa Fontana Park
5X36 la Alianza
Carolina, PR 00985-0000

Mailing address

Cond Villas del Mar Oeste
Apt 14a
Carolina, PR 00979-5424
Phone (787) 315-3226

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
I20160921000770 PR Practitioner - Clinical Psychologist 0547557472 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 -8 Calle
Suite 11
Carolina, PR 00985-5436
Phone (787) 315-3226

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790883403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND VILLAS DEL MAR OESTE",
            "address_2": "APT 14A",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795424",
            "telephone_number": "787-315-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA FONTANA PARK",
            "address_2": "5X36 LA ALIANZA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009850000",
            "telephone_number": "787-315-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON SANTIAGO",
        "first_name": "SANDRA",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.