| Doctor Name: | DR. JESSENIA SANTIAGO |
| NPI Number: | 1174655419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 2696 |
| Business Practice Address: | Carr,153 Km 7.5 Barrio Paso Seco Sector Useras Santa Isabel, PR - 00757 |
| Business Phone Number: | 7874792257 |
| Business Fax Number: | 7878454531 |
| Mailing Address: | 5504 Paseo Lago Garzas, Extension Lago Horizonte Cll COTO LAUREL |
| State: | PR |
| Postal Code: | 007802432 |
| Phone Number: | 7874792257 |
| Fax Number: | 7878454531 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |