Mariam Santiago Anadon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3308 Issued in PR

Practice address

Urb. Industrial Reparada 2
396 Dr. Luis F. Sala
Ponce, PR 00732-7004

Phone

(787) 840-0052

NPI assigned

Mar 10, 2009

Sex

Female

Sole proprietor

No

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

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

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.

• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602

  Clinical

  Medicare reassignment NPD
• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Clinic/Center
  • Ponce, PR
  • NPI 1467180851
  NPD
• Arist Medical Sciences University, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1396147724
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1891936530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 LA CAPITANA ST",
            "address_2": "URB PUNTO ORO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282002",
            "telephone_number": "787-696-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. INDUSTRIAL REPARADA 2",
            "address_2": "396 DR. LUIS F. SALA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO ANADON",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3308",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Manuel Santana, R.T.
• Leniel Santana, M.D.
• Agnes Santi, RPH
• Elmer Emanuel Santiago Almeida
• Jose Oscar Santiago Alvarado Sr., MD
• Omar Alejandro Santiago Baez, MD, MPH, FAAP
• Jinelis Santiago Beniquez
• Jessica Santiago Burgos
• William Santiago Butler, M.D.,
• Alejandra Sofia Santiago Casanova, PHARMACIST

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.