Provider Demographics
NPI:1164994059
Name:CRUZ, MARIA VICTORIA (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:VICTORIA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:VICTORIA
Other - Last Name:CRUZ-RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1810
Mailing Address - Country:US
Mailing Address - Phone:787-391-7241
Mailing Address - Fax:
Practice Address - Street 1:114 CALLE MCKINLEY W
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3874
Practice Address - Country:US
Practice Address - Phone:787-620-9607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist