Provider Demographics
NPI:1104220250
Name:ABREU CRUZ, ALERYS YAMILKA SR (PHARMACY TECH)
Entity Type:Individual
Prefix:MRS
First Name:ALERYS
Middle Name:YAMILKA
Last Name:ABREU CRUZ
Suffix:SR
Gender:F
Credentials:PHARMACY TECH
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 760
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00707
Mailing Address - Country:UM
Mailing Address - Phone:939-329-7081
Mailing Address - Fax:939-329-7082
Practice Address - Street 1:24 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:MAUNABO
Practice Address - State:PR
Practice Address - Zip Code:00707-2148
Practice Address - Country:US
Practice Address - Phone:787-640-6307
Practice Address - Fax:939-329-7082
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7414183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician