=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881262046
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANSHESKA M FELICIANO CRUZ PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2021
-----------------------------------------------------
Last Update Date | 06/15/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | SOLAR 6 BO GALATEO BAJO CARR. 466 #587
-----------------------------------------------------
City | ISABELA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00662
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-830-3335
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22 CALLE EL REY
-----------------------------------------------------
City | ISABELA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00662-4239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-910-3920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 6789
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------