Individual provider Active NPI

Jose R Cruz, 005529

  • Other Technician
  • Caguas, PR
National Provider Identifier
1912279720
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
005529 Issued in PR
Practice address
Farmacia Caridad 7
Camino Alejandrino Carr 838
Caguas, PR 00921
Phone
(787) 740-7000
NPI assigned
Feb 9, 2012
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 005529 PR Primary

Addresses

Primary practice location

Farmacia Caridad 7
Camino Alejandrino Carr 838
Caguas, PR 00921

Mailing address

Las Carolinas Calle Azucena 417
Caguas, PUERTO RICO 00727
UM
Phone (787) 454-1693

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

State licenses

LicenseStateTypeSpecialty
005529PRMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1912279720",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "LAS CAROLINAS CALLE AZUCENA 417",
            "city": "CAGUAS",
            "state": "PUERTO RICO",
            "postal_code": "00727",
            "telephone_number": "787-454-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARMACIA CARIDAD 7",
            "address_2": "CAMINO ALEJANDRINO CARR 838",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-740-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "005529",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "PR",
            "license": "005529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.