Healthcare Provider Details

I. General information

NPI: 1659389997
Provider Name (Legal Business Name): AXISCARE HEALTH LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PEPSI INDUSTRIAL PARK PR #2, KM. 19.5, BO. CANDELARIA LOTS 1 & 2
TOA BAJA PR
00949
US

IV. Provider business mailing address

PO BOX 1366
DORADO PR
00646-1366
US

V. Phone/Fax

Practice location:
  • Phone: 787-251-2323
  • Fax: 787-251-7056
Mailing address:
  • Phone: 787-251-2323
  • Fax: 787-251-7056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StatePR

VIII. Authorized Official

Name: MR. MILTON L CRUZ
Title or Position: CEO
Credential: ESQ.
Phone: 787-360-7585