Individual provider Active NPI

Ada L Cruz

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1215108261
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3998 Issued in PR
Practice address
501 West Main Plaza del Sol
Ave. Sierra Bayamon
Bayamon, PR 00961
Phone
(787) 740-0730
Fax
(787) 740-0620
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3998 PR Primary

Addresses

Primary practice location

501 West Main Plaza del Sol
Ave. Sierra Bayamon
Bayamon, PR 00961

Mailing address

1173 Calle San Bernabe
Urb. Palacios de Marbella
Toa Alta, PR 00953-5227
Phone (787) 799-4322

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1215108261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 CALLE SAN BERNABE",
            "address_2": "URB. PALACIOS DE MARBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535227",
            "telephone_number": "787-799-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST MAIN PLAZA DEL SOL",
            "address_2": "AVE. SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-740-0730",
            "fax_number": "787-740-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ADA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.