Provider Demographics
NPI:1043355126
Name:SANTIAGO, RAMONITA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RAMONITA
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR.140 KM.56.0 BO. LA VAZQUEZ
Mailing Address - Street 2:HC-01 BOX 4004
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650
Mailing Address - Country:US
Mailing Address - Phone:787-822-2749
Mailing Address - Fax:787-822-2749
Practice Address - Street 1:CARR.140 KM.56.0 BO. LA VAZQUEZ
Practice Address - Street 2:HC-01 BOX 4004
Practice Address - City:FLORIDA
Practice Address - State:PR
Practice Address - Zip Code:00650
Practice Address - Country:US
Practice Address - Phone:787-822-2749
Practice Address - Fax:787-822-2749
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist