NPIMap

Organization Active NPI

Jorge Santiago Santiago

  • Community/Retail Pharmacy
  • Fajardo, PR
National Provider Identifier
1801978689
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F1083 Issued in PR
Legal business name
JORGE SANTIAGO SANTIAGO
Practice address
Urb. Monte Brisas I
A 21Calle J
Fajardo, PR 00738-3349
Phone
(787) 863-4445
Fax
(787) 863-4544
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Jorge Santiago
Title
Owner
Phone
(787) 863-4445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17F1083 PR Primary

Addresses

Primary practice location

Urb. Monte Brisas I
A 21Calle J
Fajardo, PR 00738-3349

Mailing address

Urb. Monte Brisas I
A 21Calle J
Fajardo, PR 00738-3349
Phone (787) 863-4445

Other identifiers 1

IdentifierTypeStateIssuer
2084709OtherPK

Other names 1

  • FARMACIA MONTE BRISAS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1801978689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. MONTE BRISAS I",
            "address_2": "A 21CALLE J",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383349",
            "telephone_number": "787-863-4445",
            "fax_number": "787-863-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. MONTE BRISAS I",
            "address_2": "A 21CALLE J",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383349",
            "telephone_number": "787-863-4445",
            "fax_number": "787-863-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE SANTIAGO SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-863-4445"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17F1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MONTE BRISAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.