Active NPI
Mario J. Cruz
- Pharmacist
- Aguadilla, PR
National Provider Identifier
1174607451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3326
- Practice address
- 1 Ave San Carlos
Aguadilla, PR 00603-5047 - Phone
- (787) 891-1060
- Fax
- (787) 882-7237
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3326 | PR | Primary |
Addresses
Primary practice location
1 Ave San Carlos
Aguadilla, PR 00603-5047
Mailing address
PO Box 907
Aguadilla, PR 00605-0907
Phone (787) 891-1060
Other practice location 1
110 km 29.3 BO MONTANA
San Antonio
Aguadilla, PR 00605-0907
Phone (787) 890-3535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038322600 | Medicaid | PR | |
| 3326 | Other | PR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mario de Jesus Cruz Inc | Past | Accepting new patients | |
| Mario de Jesus Cruz Inc Dba Farmacia la Milagrosa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aguadilla, PR
- NPI 1801825658
-
- Durable Medical Equipment & Medical Supplies
- Aguadilla, PR
- NPI 1043412646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1174607451",
"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": "1 AVE SAN CARLOS",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006035047",
"telephone_number": "787-891-1060",
"fax_number": "787-882-7237"
}
],
"practiceLocations": [
{
"address_1": "110 km 29.3 BO MONTANA",
"address_2": "San Antonio",
"address_purpose": "LOCATION",
"city": "Aguadilla",
"state": "PR",
"postal_code": "006050907",
"country_code": "US",
"telephone_number": "787-890-3535",
"fax_number": "787-890-1647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "MARIO",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038322600",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3326",
"state": "PR"
}
],
"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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.