MEDICARE: DR. SUHEILY SANTIAGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	90498	TX

General Provider Information

NPI Number	:	1053161380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUHEILY SANTIAGO

Provider Business Mailing Address
First Line	:	20711 WILDERNESS OAK STE 107
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-2641
Country	:	US
Telephone Number	:	956-954-8895
Fax Number	:

Provider Business Practice Location Address
First Line	:	20711 WILDERNESS OAK STE 107
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-2641
Country	:	US
Telephone Number	:	956-954-8895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	03/23/2026

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Directions to “ DR. SUHEILY SANTIAGO ” Practice Location

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