Active NPI
Kevin J Cruz Villanueva, PHARM. D.
- Pharmacist
- Arecibo, PR
National Provider Identifier
1801621362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8116
- Practice address
- Ave. Catalina #104 Sector Barranca Bo. Hato Abajo
Arecibo, PR 00612 - Phone
- (787) 879-4770
- NPI assigned
- Sep 4, 2024
- Last updated
- Sep 4, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 8116 | PR | Primary |
Addresses
Primary practice location
Ave. Catalina #104 Sector Barranca Bo. Hato Abajo
Arecibo, PR 00612
Mailing address
152 J. Rodriguez Irizarry
Suite 101
Arecibo, PR 00612
Phone (787) 879-4770
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8116 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1801621362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 J. RODRIGUEZ IRIZARRY",
"address_2": "SUITE 101",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-879-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. CATALINA #104 SECTOR BARRANCA BO. HATO ABAJO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-879-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ VILLANUEVA",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "8116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.