Healthcare Provider Details

I. General information

NPI: 1306523733
Provider Name (Legal Business Name): VALERY BENITEZ SANTIAGO PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 AVE MUNOZ RIVERA STE 602
SAN JUAN PR
00918-3629
US

IV. Provider business mailing address

402 CALLE MAMEY
RIO GRANDE PR
00745-5315
US

V. Phone/Fax

Practice location:
  • Phone: 787-608-3423
  • Fax:
Mailing address:
  • Phone: 787-608-3423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8649
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: