Provider Demographics
NPI:1891023032
Name:CRUZ, SONIA N (RPH)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:N
Last Name:CRUZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CAMINO DEL MONTE
Mailing Address - Street 2:URB COLINAS DE PLATA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4752
Mailing Address - Country:US
Mailing Address - Phone:787-422-6851
Mailing Address - Fax:
Practice Address - Street 1:AVE MUNOZ RIVERA 1086
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-641-3838
Practice Address - Fax:787-641-3853
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist