Vivianne M Santiago

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4046 Issued in PR

Practice address

Cond. El Centro
Oficie 248
San Juan, PR 00918-5200

Phone

(787) 432-9048

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1831477702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DURAZNOS 702",
            "address_2": "URB. PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204516",
            "telephone_number": "787-432-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. EL CENTRO",
            "address_2": "OFICIE 248",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009185200",
            "telephone_number": "787-432-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "VIVIANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PR",
            "license": "4653",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosangel Santiago, M.D.
• Sandra I Santiago, MD
• Sergio Fabian Santiago
• Vanessa Santiago
• Victor J Santiago
• Yaisha M Santiago
• Zaida Santiago, RPH
• Zulmarie Santiago, D.M.D.
• Mariozza Santini-Moench, MD
• Mariely Santini

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.