NPIMap

Organization Active NPI

Mario Cruz

  • Community/Retail Pharmacy
  • Aguadilla, PR
National Provider Identifier
1760580690
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-3027 Issued in PR
Legal business name
MARIO CRUZ
Practice address
Carr 110 KM 6.2
Bo Montano Poblado San Antonio
Aguadilla, PR 00605
Phone
(787) 890-3535
Fax
(787) 890-3535
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Mario Cruz
Title
Owner
Phone
(787) 891-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 18-F-3027 PR Primary

Addresses

Primary practice location

Carr 110 KM 6.2
Bo Montano Poblado San Antonio
Aguadilla, PR 00605

Mailing address

PO Box 907
Aguadilla, PR 00605-0907
Phone (787) 891-1060

Other identifiers 1

IdentifierTypeStateIssuer
2087526OtherPK

Other names 1

  • FARMACIA SAN ANTONIO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia San Antonio2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1760580690",
    "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": "787-890-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 6.2",
            "address_2": "BO MONTANO POBLADO SAN ANTONIO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-890-3535",
            "fax_number": "787-890-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-891-1060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 2016; 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.