Jonathan Xavier Mateo Santiago, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8192 Issued in PR

Practice address

2016 Av. Borinquen, Cano Martin Pena
San Juan, PR 00915

Phone

(787) 268-4171

NPI assigned

Dec 11, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661

  PR

  Medicare reassignment
• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Culebra, PR
  • NPI 1396965679
  NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1811704182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA LA MONSERRATE #514",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-549-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 AV. BORINQUEN, CANO MARTIN PENA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-268-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hacienda La Monserrate #514",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-549-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEO SANTIAGO",
        "first_name": "JONATHAN",
        "middle_name": "XAVIER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Massanet, MD
• Rebecca Masso, SLP
• Ali Mastali, M.D.
• Magaly Matanzo Cortes, MD
• Fanny Charlayne Mateo Perez
• Enid M Mateo-Reyes, M.D.
• Amada Argentina Mateo, BSN
• Lourdes Yamilka Mateo
• Mara M. Mateo, O.T.
• Matercare LLC

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.