Ivonne M Santos Dejesus

Primary specialty

PharmacistTaxonomy code 183500000X

License

#15614 Issued in LA

Practice address

Farmacia Carraizo
Carr 844 KM. 5 HM 6
Trujillo Alto, PR 00928

Phone

(787) 760-2650

Fax

(787) 760-2650

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326109349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN PATRICIO AVE",
            "address_2": ".SAN PATRICIO APARTMENTS # 1510",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-596-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARMACIA CARRAIZO",
            "address_2": "CARR 844 KM. 5 HM 6",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-760-2650",
            "fax_number": "787-760-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS DEJESUS",
        "first_name": "IVONNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "#15614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE LICENCE #",
            "identifier": "#15614",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.R. STATE LICENCE NUMBER",
            "identifier": "004920",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrizia Sanchez
• Zuziwe Sanchez, P.T.
• Shaina Marie Santiago Vargas, PHARM.D.
• Amarilis Santiago, SLP
• Benjamin Santiago, M.D.
• Yazmin Selles, PSYD
• Ramon Sena, MD
• Nicole Sifonte, M.D.
• Claudia Silva
• Annette Soler, D.D.S

• Pharmacist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Pharmacist in Puerto Rico

• 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.

Verify at the official NPI Registry.