Active NPI
Ariel E Tarraza Santos, PHARMD
- Pharmacist
- Toa Baja, PR
National Provider Identifier
1205470515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6687
- Practice address
- Carr 863 KM 0.6, Bo. Pajaros
Toa Baja, PR 00951 - Phone
- (787) 620-9611
- Fax
- (787) 251-3335
- NPI assigned
- Oct 30, 2019
- Sex
- Male
- 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 | 6687 | PR | Primary |
Addresses
Primary practice location
Carr 863 KM 0.6, Bo. Pajaros
Toa Baja, PR 00951
Mailing address
Centro Comercial Plaza Caribe Mall
Carr Estatal #2
Vega Alta, PR 00692
Phone (787) 270-7730
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 |
|---|---|---|---|
| 6687 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1205470515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL PLAZA CARIBE MALL",
"address_2": "CARR ESTATAL #2",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 863 KM 0.6, BO. PAJAROS",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00951",
"telephone_number": "787-620-9611",
"fax_number": "787-251-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRAZA SANTOS",
"first_name": "ARIEL",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "6687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.