Provider Demographics
NPI:1679972673
Name:SAEZ SANTIAGO, EMILY (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SAEZ SANTIAGO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23174
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00931-3174
Mailing Address - Country:US
Mailing Address - Phone:787-764-2250
Mailing Address - Fax:787-764-2615
Practice Address - Street 1:#55 AVE. UNIVERSIDAD
Practice Address - Street 2:EDIFICIO RIVERA
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-764-2250
Practice Address - Fax:787-764-2615
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical