Provider Demographics
NPI:1760378178
Name:SANTIAGO VARGAS, SHAINA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:MARIE
Last Name:SANTIAGO VARGAS
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 1:320 CALLE 20
Mailing Address - Street 2:URB JUAN PONCE LEON
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-446-4707
Mailing Address - Fax:
Practice Address - Street 1:PLAZA ENCANTADA URB. ENCANTADA CARR. STE 2, STE 2,
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-748-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist