Provider Demographics
NPI:1033218508
Name:CRUZ, LUZ ESTER (TECNICO DE FARMACIA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:ESTER
Last Name:CRUZ
Suffix:
Gender:F
Credentials:TECNICO DE FARMACIA
Other - Prefix:MRS
Other - First Name:LUZ
Other - Middle Name:ESTHER
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TECNICO DE FARMACIA
Mailing Address - Street 1:C/27 BLOQ. AA #45 TOA ALTA HEIGTHS
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-797-6753
Mailing Address - Fax:
Practice Address - Street 1:C/27 BLOQ. AA #45 TOA ALTA HEIGTHS
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-797-6753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2237183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician