Individual provider Active NPI

Gabriel La Santa, PHARMD

  • Pharmacist
  • Trujillo Alto, PR
National Provider Identifier
1447545272
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5297 Issued in PR
Practice address
I15 Calle Guarionex
Trujillo Alto, PR 00976-3524
Phone
(787) 283-3545
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5297 PR Primary

Addresses

Primary practice location

I15 Calle Guarionex
Trujillo Alto, PR 00976-3524

Mailing address

I-15 Guarionex Villas de Caney
Trujillo Alto, PR 00976-3524
Phone (787) 283-3545

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

LicenseStateTypeSpecialty
5297PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1447545272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I-15 GUARIONEX VILLAS DE CANEY",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763524",
            "telephone_number": "787-283-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I15 CALLE GUARIONEX",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763524",
            "telephone_number": "787-283-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SANTA",
        "first_name": "GABRIEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.