Healthcare Provider Details

I. General information

NPI: 1679403471
Provider Name (Legal Business Name): ALEXIS JOEL RUIZ CORTES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 3 BOX 31959
AGUADA PR
00602-9735
US

IV. Provider business mailing address

HC 3 BOX 31959
AGUADA PR
00602-9735
US

V. Phone/Fax

Practice location:
  • Phone: 787-951-7324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8677
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: