Individual provider Active NPI

Lourdes Berrios Santos, PHARMACIST

  • Pharmacist
  • Cidra, PR
National Provider Identifier
1902014954
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3653 Issued in PR
Practice address
Calle Barcelo #64
Cidra, PR 00739-3438
Phone
(787) 739-8300
Fax
(787) 739-6300
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3653 PR Primary

Addresses

Primary practice location

Calle Barcelo #64
Cidra, PR 00739-3438

Mailing address

PO Box 1257
Cidra, PR 00739-1257
Phone (787) 739-8300

Other identifiers 2

IdentifierTypeStateIssuer
038391400MedicaidPR
1093792202OtherPRNPI PHARMACY

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
3653PRMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Pablo, Inc. PastSince Jul 13, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1902014954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391257",
            "telephone_number": "787-739-8300",
            "fax_number": "787-739-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO #64",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393438",
            "telephone_number": "787-739-8300",
            "fax_number": "787-739-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS SANTOS",
        "first_name": "LOURDES",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038391400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PHARMACY",
            "identifier": "1093792202",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.