Individual provider Active NPI

Aida Esther Santiago

  • Pharmacist
  • Lajas, PR
National Provider Identifier
1417312190
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6330 Issued in PR
Practice address
Farmacia San Pablo Y San Pedro
152 Calle Union
Lajas, PR 00667
Phone
(939) 214-7205
Fax
(847) 396-2748
NPI assigned
Dec 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6330 PR Primary

Addresses

Primary practice location

Farmacia San Pablo Y San Pedro
152 Calle Union
Lajas, PR 00667

Mailing address

Farmacia San Pablo San Pedro
Calle Union # 152
Lajas, PR 00667
Phone (939) 214-7205

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
6330PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1417312190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FARMACIA SAN PABLO SAN PEDRO",
            "address_2": "CALLE UNION # 152",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "939-214-7205",
            "fax_number": "847-396-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARMACIA SAN PABLO Y SAN PEDRO",
            "address_2": "152 CALLE UNION",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "939-214-7205",
            "fax_number": "847-396-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "AIDA",
        "middle_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.