=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831057413
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANA OLGA CRUZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2026
-----------------------------------------------------
Last Update Date | 01/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CALLE MUNOZ RIVERA #1 OESTE
-----------------------------------------------------
City | RINCON
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00677
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-823-2780
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 57 BOX 9618
-----------------------------------------------------
City | AGUADA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00602-9710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-560-3195
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183700000X
-----------------------------------------------------
Taxonomy Name | Pharmacy Technician
-----------------------------------------------------
License Number | 011074
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------