Healthcare Provider Details

I. General information

NPI: 1396606851
Provider Name (Legal Business Name): ANA M CUADRADO DIAZ CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 11/25/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILLAS DE BUENAVENTURA 60 CALLE AGUEYBANA
YABUCOA PR
00767
US

IV. Provider business mailing address

VILLAS DE BUENAVENTURA 60 CALLE AGUEYBANA
YABUCOA PR
00767
US

V. Phone/Fax

Practice location:
  • Phone: 787-206-1654
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number2313
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: