Provider Demographics
NPI:1811681745
Name:SANTIAGO SANABRIA, VIRNALIS DIANE (PHARMD)
Entity type:Individual
Prefix:
First Name:VIRNALIS
Middle Name:DIANE
Last Name:SANTIAGO SANABRIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6868
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5868
Mailing Address - Country:US
Mailing Address - Phone:787-592-3911
Mailing Address - Fax:787-302-0096
Practice Address - Street 1:PO BOX 6868
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-5868
Practice Address - Country:US
Practice Address - Phone:787-592-3911
Practice Address - Fax:787-302-0096
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2755390200000X
PR8196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program