Individual provider Active NPI

Mildred Noemi Santiago, R.PH.

  • Pharmacist
  • Barceloneta, PR
National Provider Identifier
1477694511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1857 Issued in PR
Practice address
9 Calle Georgetti
Barceloneta, PR 00617-2712
Phone
(787) 846-3474
Fax
(787) 846-0219
NPI assigned
Feb 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1857 PR Primary

Addresses

Primary practice location

9 Calle Georgetti
Barceloneta, PR 00617-2712

Mailing address

9 Calle Georgetti
Barceloneta, PR 00617-2712
Phone (787) 846-3474

Other identifiers 1

IdentifierTypeStateIssuer
1857OtherPRREGISTER PHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1857PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Martin Barceloneta Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477694511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-846-3474",
            "fax_number": "787-796-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-846-3474",
            "fax_number": "787-846-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MILDRED",
        "middle_name": "NOEMI",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER PHARMACIST",
            "identifier": "1857",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

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.