Organization Active NPI

Mario de Jesus Cruz Inc Dba Farmacia la Milagrosa

  • Durable Medical Equipment & Medical Supplies
  • Aguadilla, PR
National Provider Identifier
1043412646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Milagrosa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.