| Doctor Name: | DR. DARYSA MEDINA-SANTIAGO |
| NPI Number: | 1255750667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., MCR |
| License Number: | 1065 |
| Business Practice Address: | Carretera 2 Kilometro 11.2 Bayamon, PR - 00959 |
| Business Phone Number: | 7877853448 |
| Business Fax Number: | 7877782868 |
| Mailing Address: | Po Box 56134, BAYAMON |
| State: | PR |
| Postal Code: | 009606434 |
| Phone Number: | 7877853448 |
| Fax Number: | 7877782868 |
| NPI Enumeration Date: | 04/14/2014 |
| NPI Last Update Date: | 04/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 1065 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |