Healthcare Provider Details
I. General information
NPI: 1639849540
Provider Name (Legal Business Name): CHRISTIAN SANTIAGO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/14/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BO. PUEBLO CARR 2 KM 86.6
HATILLO PR
00627
US
IV. Provider business mailing address
2400 BISCAYNE BLVD
MIAMI FL
33137-4516
US
V. Phone/Fax
- Phone: 787-680-5444
- Fax: 877-533-8339
- Phone: 305-764-3780
- Fax: 877-533-8339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PS60149 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: