SPS Specialty Pharmacy Services Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

17-F-3174 Issued in PR

Legal business name

SPS SPECIALTY PHARMACY SERVICES INC

Doing business as

SPS Specialty Pharmacy Services Inc

Practice address

75 Ave Luis Munoz Marin
Caguas, PR 00725-3856

Phone

(787) 704-2025

Fax

(787) 704-2027

NPI assigned

Dec 18, 2006

Last updated

Apr 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enid Santiago, RPH

Title

President

Phone

(787) 704-2025

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• SPS SPECIALTY PHARMACY SERVICES INC Doing business as

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• SPS Specialty Pharmacy Services Inc

  dba SPS Specialty Pharmacy Services

  • Infusion Therapy Clinic/Center
  • Caguas, PR
  • NPI 1417334152

  8325232184

  Same PAC ID
• SPS Specialty Pharmacy Services,Inc

  • Home Infusion Therapy Pharmacy
  • Caguas, PR
  • NPI 1366654949

  8325232184

  Same PAC ID

Tax ID family

SPS Specialty Pharmacy Servicesinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SPS Specialty Pharmacy Services Inc

  dba SPS Specialty Pharmacy Services

  • Infusion Therapy Clinic/Center
  • Caguas, PR
  • NPI 1417334152
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1013070572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AVE LUIS MUNOZ MARIN",
            "address_2": "75 LUIS MUNOZ MARIN PLAZA NOTRE DAME",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253856",
            "telephone_number": "787-704-2025",
            "fax_number": "787-704-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253856",
            "telephone_number": "787-704-2025",
            "fax_number": "787-704-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPS SPECIALTY PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-704-2025",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PR",
            "license": "17-F-3174",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPS SPECIALTY PHARMACY SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonio Raul Soto, DMD
• Jose J Soto, DDS, MS
• Stephanie Soto
• Ramon K Sotomayor, MD
• Sports Medicine Caguas, LLC.
• SPS Specialty Pharmacy Services Inc (SPS Specialty Pharmacy Services)
• SPS Specialty Pharmacy Services,Inc
• Fabio Alejandro Squicimari de Cardenas, MD
• SRC Dental
• St Lukes Episcopal Church Home Care Program (St. Lukes Home Health Agency Caguas)

• Specialty Pharmacy in Caguas, PR
• Providers in Caguas, PR by specialty
• Specialty Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.