DR. DARYSA MEDINA-SANTIAGO (NPI# 1255750667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255750667 |
Entity Type | Individual |
Full Name | DR. DARYSA MEDINA-SANTIAGO |
Credential | PH.D., MCR |
Practice Address |
Carretera 2 Kilometro 11.2 Bayamon PR 00959 |
Mailing Address |
Po Box 56134 Bayamon PR 00960-6434 |
Practice Telephone | 7877853448 |
Practice Fax Number | 7877782868 |
Mailing Telephone | 7877853448 |
Mailing Fax Number | 7877782868 |
Enumeration Date | 2014-04-14 |
Last Update Date | 2014-04-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 1065 | PR | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4579 | PR | Behavioral Health & Social Service Providers |
Street Address |
CARRETERA 2 KILOMETRO 11.2 |
City | BAYAMON |
State | PR |
Zip Code | 00959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
1568074367 | Yanira Perez Nieves | Counselor | Bloque 10 Num. 17 Ave. Aguas Buenas, Edificio 1917 Suite 4, Bayamon, PR 00959 | 2020-08-21 |
1689290793 | Metro Pavia Healthcare Centers | Clinic/Center | Carr 167 Urb Bella Vista Marginal Ad-10, Bayamon, PR 00959 | 2020-06-24 |
1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
1437779907 | Precise Radiosurgery Solutions Psc | Radiology | Ext Hnas Davila Marginal Carr #2 Esq 3b, Edificio 1955 Suite G1, Bayamon, PR 00959 | 2020-04-24 |
1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
1245864081 | Raquel Ivelisse Lopez Crespo | Psychologist | Urb Santa Rosa Blq 51 #62, Marginal Carr #2, Bayamon, PR 00959 | 2020-03-02 |
Find all providers in zip 00959 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
1427689850 | Osvaldo Gonzalez | Psychologist | W10 Calle 12, Bayamon, PR 00959-8014 | 2020-02-04 |
1295377430 | Coralia Krystal Maldonado | Psychologist | Urb. Santa Rosa #68 Calle Esteban Padilla, Bayamon, PR 00959 | 2019-10-09 |
1528534385 | Melisa Quinones | Psychologist | 2a16 Ave Nogal, Bayamon, PR 00956-3435 | 2018-10-19 |
1619483906 | Mariselee Diaz Conde | Psychologist | 1 Calle Magnolia Gardens, A-28, Bayamon, PR 00959 | 2017-12-21 |
1225544174 | Hector I Rodriguez Capeles | Psychologist | Urb Santa Rosa, 11-16 Carr 174, Bayamon, PR 00959 | 2017-12-14 |
1093220519 | Carmen Lydia Rivera Medina | Psychologist | Calle 2 E-11, Santa Cruz, Bayamon, PR 00961-3516 | 2017-12-06 |
1003347634 | Erika Viera Fonseca | Psychologist | Rr 8 Box 2147, Bayamon, PR 00956-9693 | 2017-03-24 |
1669913190 | Omar Pena-rivera | Psychologist | 20 Zaya Verde, Hato Tejas, Bayamon, PR 00959-4848 | 2017-03-16 |
Find all providers in BAYAMON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.