NPIMap

Organization Active NPI

Mario de Jesus Cruz Inc

Doing business as Farmacia La Milagrosa

  • Community/Retail Pharmacy
  • Aguadilla, PR
National Provider Identifier
1801825658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07F0214 Issued in PR
Legal business name
MARIO DE JESUS CRUZ INC
Doing business as
Farmacia La Milagrosa
Practice address
Ave San Carlos Esq Cosmercio #1
Aguadilla, PR 00605
Phone
(787) 891-1060
Fax
(787) 882-5075
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mario De Jesus Cruz, PHARMACIST
Title
President
Phone
(787) 891-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07F0214 PR Primary

Addresses

Primary practice location

Ave San Carlos Esq Cosmercio #1
Aguadilla, PR 00605

Mailing address

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

Other names 1

  • Farmacia La Milagrosa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia la Milagrosa2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801825658",
    "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": "787-882-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN CARLOS ESQ COSMERCIO #1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-891-1060",
            "fax_number": "787-882-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO DE JESUS CRUZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-891-1060",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F0214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia La Milagrosa",
            "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 Aug 22, 2020; 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.