Individual provider Active NPI

Manuel Rivera-Santiago

  • Pharmacy Technician
  • San Juan, PR
National Provider Identifier
1053824813
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
8670 Issued in PR
Practice address
10 Ave Simon Madera
San Juan, PR 00924-2231
Phone
(787) 751-0565
Fax
(787) 763-1263
NPI assigned
Nov 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 8670 PR Primary

Addresses

Primary practice location

10 Ave Simon Madera
San Juan, PR 00924-2231

Mailing address

1484 Ave FD Roosevelt Apt 613
San Juan, PR 00920-2720
Phone (787) 806-8137

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

LicenseStateTypeSpecialty
8670PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1053824813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 AVE FD ROOSEVELT APT 613",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202720",
            "telephone_number": "787-806-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVE SIMON MADERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242231",
            "telephone_number": "787-751-0565",
            "fax_number": "787-763-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-SANTIAGO",
        "first_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "8670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.