Healthcare Provider Details

I. General information

NPI: 1689551897
Provider Name (Legal Business Name): FRANCES DIANE CRUZ DE JESUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CALLE AR BARCELO
UTUADO PR
00641-2991
US

IV. Provider business mailing address

29 CALLE AR BARCELO
UTUADO PR
00641-2991
US

V. Phone/Fax

Practice location:
  • Phone: 787-894-2075
  • Fax: 787-894-2075
Mailing address:
  • Phone: 787-894-2075
  • Fax: 787-894-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006858
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: