Provider Demographics
NPI:1417574997
Name:CRECEX LLC
Entity Type:Organization
Organization Name:CRECEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:ALAMEDA
Authorized Official - Last Name:ASENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:787-930-4363
Mailing Address - Street 1:PO BOX 5277
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-5277
Mailing Address - Country:US
Mailing Address - Phone:787-856-8274
Mailing Address - Fax:787-267-1011
Practice Address - Street 1:ALTURAS DE YAUCO
Practice Address - Street 2:7 A-13
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-2750
Practice Address - Country:US
Practice Address - Phone:787-856-8274
Practice Address - Fax:787-267-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy