Individual provider Active NPI

Enid Santiago

  • Pharmacist
  • Ceguas, PR
National Provider Identifier
1417067976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3940 Issued in PR
Practice address
Avenida Lurs Munoz Mavin Urb Eaguax
C1 Bo Tomaj de Castro
Ceguas, PR 00725
Phone
(787) 653-2694
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

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
3940PRMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3940 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Avenida Lurs Munoz Mavin Urb Eaguax
C1 Bo Tomaj de Castro
Ceguas, PR 00725

Mailing address

239 Calle Los Tulipanes
Urb El Valle
Caguas, PR 00727-3230
Phone (787) 370-0203

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417067976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CALLE LOS TULIPANES",
            "address_2": "URB EL VALLE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273230",
            "telephone_number": "787-370-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LURS MUNOZ MAVIN URB EAGUAX",
            "address_2": "C1 BO TOMAJ DE CASTRO",
            "city": "CEGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ENID",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.