Most Relevant Information
Provider Data
| NPI Number: | 1003289547 |
| Provider Name: | LISETTE ENID CRUZ PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 3993 |
Most Important Dates
| Enumeration Date: | 11/05/2015 |
| Last Updated: | 11/05/2015 |
Provider Practice Location
45 CALLE MUNOZ RIVERA
MAUNABO
PR
007072146
Practice Location Phone/Fax
| Phone: | 7878394320 |
| Fax: |
Provider Mailing Location
45 CALLE HIGUERETA
GURABO
PR
007789650
Provider Mailing Phone/Fax
| Phone: | 7873186104 |
| Fax: |