Provider Demographics
NPI:1639910367
Name:RIVERA-SANTIAGO, ALEJANDRA (PSYD)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:RIVERA-SANTIAGO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALEJANDRA
Other - Middle Name:
Other - Last Name:RIVERA-SANTIAGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:CONDOMINIO VISTA REAL I
Mailing Address - Street 2:APT. D122
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-344-8261
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO VISTA REAL I
Practice Address - Street 2:APT. D122
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-344-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6888103TC1900X, 103TE1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling