Provider Demographics
NPI:1821139130
Name:CRUZ, ANA M (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:CRUZ
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195-6 CALLE 535
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-3107
Mailing Address - Country:US
Mailing Address - Phone:787-762-2223
Mailing Address - Fax:787-889-0410
Practice Address - Street 1:901 CALLE 2
Practice Address - Street 2:URB BRISAS DEL MAR
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-2463
Practice Address - Country:US
Practice Address - Phone:787-889-4880
Practice Address - Fax:787-889-0410
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist