Provider Demographics
NPI:1225047186
Name:EULALIO CRUZADO PEREZ, INC.
Entity Type:Organization
Organization Name:EULALIO CRUZADO PEREZ, INC.
Other - Org Name:FARMACIA SANTA TERESITA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EULALIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-786-8692
Mailing Address - Street 1:SANTA JUANITA DC-2 AVE. MINILLAS
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-0000
Mailing Address - Country:US
Mailing Address - Phone:787-786-8692
Mailing Address - Fax:
Practice Address - Street 1:URB. SANTA JUANITA
Practice Address - Street 2:DC-2 AVE. MINILLAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-0000
Practice Address - Country:US
Practice Address - Phone:787-786-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy