Active NPI
Maricelis Santiago, 6704
- Pharmacy Technician
- Bayamon, PR
National Provider Identifier
1457541310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 6704
- Practice address
- X1 Calle 17
Royal Town
Bayamon, PR 00956-4534 - Phone
- (787) 620-9601
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 6704 | PR | Primary |
Addresses
Primary practice location
X1 Calle 17
Royal Town
Bayamon, PR 00956-4534
Mailing address
X1 Calle 17
Royal Town
Bayamon, PR 00956-4534
Phone (787) 620-9601
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6704 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1457541310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "X1 CALLE 17",
"address_2": "ROYAL TOWN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564534",
"telephone_number": "787-620-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "X1 CALLE 17",
"address_2": "ROYAL TOWN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564534",
"telephone_number": "787-620-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MARICELIS",
"credential": "6704",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "6704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.