Active NPI
Edgardo Santiago, PHARM D, CGP
- Geriatric Pharmacist
- San Juan, PR
National Provider Identifier
1093857302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 4939
- Practice address
- MCS Plaza 255 Ave. Ponce de Leon, Suite 75
San Juan, PR 00917-1919 - Phone
- (787) 758-2500
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 4939 | PR | Primary |
Addresses
Primary practice location
MCS Plaza 255 Ave. Ponce de Leon, Suite 75
San Juan, PR 00917-1919
Mailing address
Los Faroles 500 Carr. 861 Box 185
Bayamon, PR 00956
Phone (787) 999-5208
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4939 | PR | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093857302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOS FAROLES 500 CARR. 861 BOX 185",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-999-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCS PLAZA 255 AVE. PONCE DE LEON, SUITE 75",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009171919",
"telephone_number": "787-758-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "EDGARDO",
"credential": "PHARM D, CGP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PR",
"license": "4939",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.