Provider Demographics
NPI:1396215497
Name:CRUZ ECHEVARRIA, CRISTINA ELENA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:ELENA
Last Name:CRUZ ECHEVARRIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALLE BAYAMON APT 104
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5503
Mailing Address - Country:US
Mailing Address - Phone:939-630-4008
Mailing Address - Fax:
Practice Address - Street 1:47 AVE ESMERALDA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4429
Practice Address - Country:US
Practice Address - Phone:787-790-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6584OtherJUNTA DE FARMACIA DE PUERTO RICO