MEDICARE: DR. LORENA R VAZQUEZ SANTIAGO-GARCIA PSY.D.

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	101YP2500X	Professional Counselor	92019	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	1055	PR
3	101YP2500X	Professional Counselor	LPC-24628	AZ
4	101YM0800X	Mental Health Counselor	MH27426	FL
5	101Y00000X	Counselor	1055	PR
6	103TF0200X	Forensic Psychologist	6451	PR
7	103TC0700X	Clinical Psychologist	6451	PR

General Provider Information

NPI Number	:	1578146460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORENA R VAZQUEZ SANTIAGO-GARCIA PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 3415
Second Line	:
City	:	GUAYAMA
State	:	PR
Zip	:	00785-3415
Country	:	US
Telephone Number	:	787-557-2821
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. VILLA ROSA I CALLE 6 A 17
Second Line	:
City	:	GUAYAMA
State	:	PR
Zip	:	00784
Country	:	US
Telephone Number	:	787-482-1372
Fax Number	:

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

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	05/05/2026

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