Mariette Christie Cruz Soto, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Juncos, PR
NPI 1750869160 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1750869160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 6382 (PR)
- Practice address
- 70 Calle Teodomiro Delfaus
Juncos, PR 00777 - Phone
- (787) 734-2186
- Fax
- (787) 734-2186
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6382 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virgilio Cruz Rivera | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6382 | PR | Yes |
Addresses
Primary practice location
70 Calle Teodomiro Delfaus
Juncos, PR 00777
Mailing address
PO Box 1770
Juncos, PR 00777-1770
Phone (787) 734-2186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6382 | Other | PR | PHARMACIST LICENSE |
Other providers in Juncos, PR
- Carlos Enrique Correa Luna
- Catherine Correa
- Josee Cotto Arriaga
- Jose Crespo
- Wilmarie Cruz Sierra
- Amanda Carolina Cruz-Lamboy
- Alejandro Cruz
- Johansen Cruz
- Juan A Cuan Lau
- Ana O Curiel
All providers in Juncos, PR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. 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.