Provider Demographics
NPI:1801403183
Name:CRUZ VELEZ, WILFREDO JAVIER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILFREDO
Middle Name:JAVIER
Last Name:CRUZ VELEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GRAND BLVD LOS PRADOS STE 785
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9533
Mailing Address - Country:US
Mailing Address - Phone:787-744-2347
Mailing Address - Fax:
Practice Address - Street 1:200 GRAND BLVD LOS PRADOS STE 785
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-9533
Practice Address - Country:US
Practice Address - Phone:787-744-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program