Super Farmacia Santa Teresa, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07-F-0773 Issued in PR

Legal business name

SUPER FARMACIA SANTA TERESA, INC

Practice address

Calle Pimentel # 17
Rio Grande, PR 00745

Phone

(787) 887-2475

Fax

(787) 888-1033

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Milca Jimenez

Title

Manager

Phone

(787) 887-2475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Daliana Fred, PHARM D

  • Pharmacist
  • Rio Grande, PR
  • NPI 1083370332
  NPD
• Ruth Mareva Fred Jimenez, MD

  • Rheumatology Physician
  • Rio Grande, PR
  • NPI 1073746392
  NPD (past)
• Ruth Jimenez

  • Community/Retail Pharmacy
  • Rio Grande, PR
  • NPI 1932249265
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1629107677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 756",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-2475",
            "fax_number": "787-887-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PIMENTEL # 17",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-2475",
            "fax_number": "787-888-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA SANTA TERESA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MILCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-887-2475"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-0773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Limaris Silva
• Tamara M Silva
• Gina Enid Solis Cardona
• Tamary Angeliz Solis Montalvo, MSW
• David L Soto, DMD
• The Good Doctor, LLC
• Maria Tirado
• Ulises Melendez Toledo, M.D.
• Mildred Tolentino
• Ana Daisy Torres Ramos, RN

• Community/Retail Pharmacy in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.