Active NPI
Jackeline Santiago Perez
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1710641709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 014368
- Practice address
- 1507 Calle Profesor Augusto Rodriguez
San Juan, PR 00909 - Phone
- (787) 705-3900
- NPI assigned
- Oct 26, 2021
- Last updated
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 014368 | PR | Primary |
Addresses
Primary practice location
1507 Calle Profesor Augusto Rodriguez
San Juan, PR 00909
Mailing address
8169 Condominio San Vicente
Suite 410 Calle Concordia
Ponce, PR 00717-7911
Phone (787) 460-5691
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 |
|---|---|---|---|
| 014368 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Ararat 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1710641709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CONDOMINIO SAN VICENTE",
"address_2": "SUITE 410 CALLE CONCORDIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007177911",
"telephone_number": "787-460-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 CALLE PROFESOR AUGUSTO RODRIGUEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-705-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO PEREZ",
"first_name": "JACKELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "014368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.