Active NPI
Sandra Negron Santiago, PH D
- Clinical Psychologist
- Carolina, PR
National Provider Identifier
1790883403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1724
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.