Active NPI
Andrea Nicole Santiago Acevedo
- Pharmacy Technician
- Mayaguez, PR
National Provider Identifier
1093390155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 012841
- Practice address
- 71 Calle Juan Rullan
Mayaguez, PR 00680-3601 - Phone
- (787) 458-2364
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 012841 | PR | Primary |
Addresses
Primary practice location
71 Calle Juan Rullan
Mayaguez, PR 00680-3601
Mailing address
71 Calle Juan Rullan
Mayaguez, PR 00680-3601
Phone (787) 458-2364
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 |
|---|---|---|---|
| 012841 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1093390155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CALLE JUAN RULLAN",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803601",
"telephone_number": "787-458-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 CALLE JUAN RULLAN",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803601",
"telephone_number": "787-458-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO ACEVEDO",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "012841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- William Francisco Santaliz, M.D.
- Kevin Gabriel Santana Ramos, PSY.D
- Lourdes E. Santana-Charriez, PSY.D., M.A.
- Cloriam Santana, M.D.
- Franklin Santana Jr.
- Gabriel Antonio Santiago Colberg, MD
- Rose Marie Santiago del Toro
- Natasha Lee Santiago Gonzalez, PSYD
- Luz M Santiago Martinez
- Joel Santiago Valcarcel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.