Active NPI
Mario de Jesus Cruz Inc Dba Farmacia la Milagrosa
- Durable Medical Equipment & Medical Supplies
- Aguadilla, PR
National Provider Identifier
1043412646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARIO DE JESUS CRUZ INC DBA FARMACIA LA MILAGROSA
- Practice address
- Ave San Carlos #1
Aguadilla, PR 00603 - Phone
- (787) 891-1060
- Fax
- (787) 882-5075
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mario De Jesus Cruz
- Title
- Pharmacist
- Phone
- (787) 891-1060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
Ave San Carlos #1
Aguadilla, PR 00603
Mailing address
PO Box 907
Aguadilla, PR 00605-0907
Phone (787) 891-1060
National Provider Directory
National Provider Directory- Tax ID family
- Farmacia la Milagrosa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Aguadilla, PR
- NPI 1801825658
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Aguadilla, PR
- NPI 1174607451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043412646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 907",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006050907",
"telephone_number": "787-891-1060",
"fax_number": "787-882-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE SAN CARLOS #1",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-891-1060",
"fax_number": "787-882-5075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO DE JESUS CRUZ INC DBA FARMACIA LA MILAGROSA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "DE JESUS",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "787-891-1060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.