Active NPI
Lourdes Socorro Santiago, RPH
- Pharmacist
- Bayamon, PR
National Provider Identifier
1992204069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3063
- Practice address
- 125 Calle a
Parque Industrial Minilla
Bayamon, PR 00959 - Phone
- (787) 993-9310
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3063 | PR | Primary |
Addresses
Primary practice location
125 Calle a
Parque Industrial Minilla
Bayamon, PR 00959
Mailing address
385 Ave Felisa Rincon Apt 1501
Condominio Puerto Paseos
San Juan, PR 00926
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3063 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1992204069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 AVE FELISA RINCON APT 1501",
"address_2": "CONDOMINIO PUERTO PASEOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CALLE A",
"address_2": "PARQUE INDUSTRIAL MINILLA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-993-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "LOURDES",
"middle_name": "SOCORRO",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.