Individual provider Active NPI

Patricia Costas

  • Oncology Pharmacist
  • Ponce, PR
National Provider Identifier
1689793085
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
4722 Issued in PR
Practice address
851 Calle Campeche
Suite 2
Ponce, PR 00717-1670
Phone
(787) 487-0105
Fax
(787) 841-5078
NPI assigned
Mar 28, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4722 PR
Geriatric Pharmacist 1835G0303X 4722 PR
Nutrition Support Pharmacist 1835N1003X 4722 PR
Pharmacotherapy Pharmacist 1835P1200X 4722 PR
Psychiatric Pharmacist 1835P1300X 4722 PR
Oncology Pharmacist 1835X0200X 4722 PR Primary

Addresses

Primary practice location

851 Calle Campeche
Suite 2
Ponce, PR 00717-1670

Mailing address

Mansion del Sur 21 Ceiba St.
Coto Laurel, PR 00780-2076

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
4722PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689793085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSION DEL SUR 21 CEIBA ST.",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CALLE CAMPECHE",
            "address_2": "SUITE 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171670",
            "telephone_number": "787-487-0105",
            "fax_number": "787-841-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PR",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "PR",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "PR",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "PR",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "PR",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.