1871164129 NPI number — KENDRA ALVAREZ- SANTIAGO LPSYC

Table of content: KENDRA ALVAREZ- SANTIAGO LPSYC (NPI 1871164129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871164129 NPI number — KENDRA ALVAREZ- SANTIAGO LPSYC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALVAREZ- SANTIAGO
Provider First Name:
KENDRA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPSYC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALVAREZ- SANTIAGO
Provider Other First Name:
KENDRA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPSYC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1871164129
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
W-23 BAYAMON GARDENS
Provider Second Line Business Mailing Address:
CALLE 18
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00957
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-604-2141
Provider Business Mailing Address Fax Number:
787-639-7977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
C/REVERENDO DOMINGO MARRERO NAVARRO B
Provider Second Line Business Practice Location Address:
CALLE REVERENDO DOMINGO MARRERO NAVARRO B
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-639-7977
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X , with the licence number:  6955 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 104100000X , with the licence number: 25219 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)