Maritza Santiago, CPHT – Pharmacy Technician

Key facts

NPI: 1710189485
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacy Technician 183700000X
License: 2998 (PR)
Practice address: 963 Calle Munoz Rivera
Penuelas, PR 00624-1401
Phone: (787) 836-2173
Fax: (787) 836-6102
NPI assigned: Jun 4, 2007
Sex: Female
Sole proprietor: Yes

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.

Innovageniuscore LLC Community/Retail Pharmacy · Penuelas, PR · NPI 1376679258

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2998	PR	MD	Medical Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Innovageniuscore LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy Technician	183700000X	2998	PR	Yes

Addresses

Primary practice location

963 Calle Munoz Rivera
Penuelas, PR 00624-1401

Mailing address

HC 8 Box 247
Bo Marueno
Ponce, PR 00731-9704
Phone (787) 290-0418

Other identifiers

Identifier	Type	State	Issuer
2998	Other	PR	CPHT

Other providers in Penuelas, PR

All providers in Penuelas, PR · Pharmacy Technician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.