Healthcare Provider Details

I. General information

NPI: 1003741240
Provider Name (Legal Business Name): ALIANIE SANTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. AGUSTIN STAHL, A-10 PR-174
BAYAMON PR
00956
US

IV. Provider business mailing address

1810 AVE PALACIOS DE VERSALLES
TOA ALTA PR
00953-6004
US

V. Phone/Fax

Practice location:
  • Phone: 787-672-3115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8907
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8907
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: