Ricardo Rivera Cruz

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07-F-0060 Issued in PR

Legal business name

RICARDO RIVERA CRUZ

Practice address

250 Calle San Ignacio
Mayaguez, PR 00680-4625

Phone

(787) 832-6355

Fax

(787) 833-8872

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Cruz, R. PH

Title

Owner

Phone

(787) 832-6355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmacia La Salud Doing business as

Tax ID family

Egm Pharmacy Inc2 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.

• Egm Pharmacy Inc

  • Community/Retail Pharmacy
  • Mayaguez, PR
  • NPI 1285798967
  NPD tax ID

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1699838482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CALLE SAN IGNACIO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804625",
            "telephone_number": "787-832-6355",
            "fax_number": "787-833-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CALLE SAN IGNACIO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804625",
            "telephone_number": "787-832-6355",
            "fax_number": "787-833-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO RIVERA CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-832-6355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-0060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4015714",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia La Salud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Ana Reyes, OTL
• Gloria M. Reyes, RN
• Krystel Marie Reyes, MD
• Maria Valentina Reyes, PHYSICIAN ASSISTANT
• Tania Tairy Ribot, MD
• Rossvelt Rijo, M.D.
• Rin Health Care Services of PR Inc
• Rin Health Care Services of PR, Inc.
• Ethel I. Rios Arroyo, PHD, BCBA
• Yazmin Rios Rodriguez, PSYD

• All providers in Mayaguez, PR
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.