Lisette Enid Cruz, PHARMACIST
Individual provider Active NPI Pharmacist · Maunabo, PR
NPI 1003289547 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1003289547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3993 (PR)
- Practice address
- 45 Calle Munoz Rivera
Maunabo, PR 00707-2146 - Phone
- (787) 839-4320
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3993 | PR | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3993 | PR | Yes |
Addresses
Primary practice location
45 Calle Munoz Rivera
Maunabo, PR 00707-2146
Mailing address
45 Calle Higuereta
Gurabo, PR 00778-9650
Phone (787) 318-6104
Other providers in Maunabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.