Healthcare Provider Details

I. General information

NPI: 1457765448
Provider Name (Legal Business Name): EXPRESSCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 AVE FERNANDEZ JUNCOS
SANTURCE PR
00907-4708
US

IV. Provider business mailing address

PO BOX 13867
SAN JUAN PR
00908-3867
US

V. Phone/Fax

Practice location:
  • Phone: 787-721-9154
  • Fax: 787-721-2983
Mailing address:
  • Phone: 787-936-2100
  • Fax: 787-919-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number18-F-3222
License Number StatePR

VIII. Authorized Official

Name: GREGORIO CORTES-MAISONET
Title or Position: PRESIDENT
Credential: MD
Phone: 787-619-1117