Carlos Andres Cruz-Perez
Individual provider Active NPI Pharmacist · Corozal, PR
NPI 1073392965 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1073392965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6976 (PR)
- Practice address
- 12 Calle Gandara
Corozal, PR 00783-2057 - Phone
- (787) 859-3040
- NPI assigned
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 6976 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilifecare, LLC | Current |
Accepting new patients |
Locations
12 Calle Gandara
Corozal, PR 00783
Phone (787) 634-8029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6976 | PR | Yes |
Addresses
Primary practice location
12 Calle Gandara
Corozal, PR 00783-2057
Mailing address
98 Calle Kennedy
Toa Alta, PR 00953-3627
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. 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.