| Doctor Name: | DR. RAQUEL MARIA SANTALIZ |
| NPI Number: | 1174764815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 3307 |
| Business Practice Address: | Aa-14 Marginal Carr. #3 Alturas De Rio Grande Rio Grande, PR - 00745 |
| Business Phone Number: | 7879341567 |
| Business Fax Number: | |
| Mailing Address: | 220 Western Auto Plaza Suite 101, Pmb 122 TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 00976 |
| Phone Number: | 7873709289 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2009 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |