Provider Demographics
NPI:1366606170
Name:SANTIAGO, BRENDA (BSPHARM, RPH, CPPS)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:BSPHARM, RPH, CPPS
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:SANTIAGO - PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSPHARM, RPH, CPPS
Mailing Address - Street 1:340 AVE FELISA RINCON DE GAUTIER 3301
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6636
Mailing Address - Country:US
Mailing Address - Phone:787-587-3695
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL HIMA SAN PABLO
Practice Address - Street 2:URB MARIOLGA ESQ LUIS MUNOZ RIVERA #1
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1808
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43998183500000X
PR4627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist