Provider Demographics
NPI:1861649725
Name:SANTOS, ZORAIDA (RPH, MBA)
Entity Type:Individual
Prefix:MS
First Name:ZORAIDA
Middle Name:
Last Name:SANTOS
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:MS
Other - First Name:ZORAIDA
Other - Middle Name:
Other - Last Name:SANTOS - CARTAGENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH, MBA
Mailing Address - Street 1:1516 TAMESIS STREET
Mailing Address - Street 2:URB EL PARAISO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-501-4481
Mailing Address - Fax:
Practice Address - Street 1:1516 TAMESIS STREET
Practice Address - Street 2:URB EL PARAISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-501-4481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist