Active NPI
Jessica Santiago Burgos
- Pharmacist
- Ponce, PR
National Provider Identifier
1033489455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5126
- Practice address
- 2706 Ave Maruca
Df02565-0
Ponce, PR 00728-4103 - Phone
- (787) 812-5978
- NPI assigned
- Jan 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5126 | PR | Primary |
Addresses
Primary practice location
2706 Ave Maruca
Df02565-0
Ponce, PR 00728-4103
Mailing address
PO Box 1437
Santa Isabel, PR 00757-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5126 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325462400000",
"number": "1033489455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1437",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007571437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 AVE MARUCA",
"address_2": "DF02565-0",
"city": "PONCE",
"state": "PR",
"postal_code": "007284103",
"telephone_number": "787-812-5978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO BURGOS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-02",
"last_updated": "2012-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Elmer Emanuel Santiago Almeida
- Jose Oscar Santiago Alvarado Sr., MD
- Mariam Santiago Anadon, PSY.D.
- Omar Alejandro Santiago Baez, MD, MPH, FAAP
- Jinelis Santiago Beniquez
- William Santiago Butler, M.D.,
- Alejandra Sofia Santiago Casanova, PHARMACIST
- Ariana Carolina Santiago Casanova
- Gabriela Isabel Santiago Casanova, MD STUDENT
- Jean Carlos Santiago Colon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.