Active NPIIndividual provider

Odalis M Cruz Rivera

Pharmacist in Kissimmee, Florida

NPI Number1780104067
Practice location
3769 Pleasant Hill RD, Kissimmee, FL 34746-2937
Fax
407-922-7754
Last updated
December 23, 2022

Odalis M Cruz Rivera is a Pharmacist based in Kissimmee, FL. Odalis M Cruz Rivera practices in Kissimmee, FL. The NPI Number for Odalis M Cruz Rivera is 1780104067 and holds a License No. PS62312 (FL). The current practice location address for Odalis M Cruz Rivera is 3769 Pleasant Hill RD, Kissimmee, FL 34746-2937 and can be reached out via phone at 407-343-0357 and via fax at 407-922-7754.

Provider Profile Details

NPI Number
1780104067
Provider Name
Odalis M Cruz Rivera
Provider Entity Type
Individual
Gender
Female
Address
3769 Pleasant Hill RD, Kissimmee, FL 34746-2937
Phone Number
407-343-0357
Fax Number
407-922-7754
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2017
Last Update Date
December 23, 2022
Certification Date
December 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3769 Pleasant Hill RD
Kissimmee, FL 34746-2937
State
Florida
Zip
34746-2937
Phone Number
407-343-0357
Fax Number
407-922-7754
Kissimmee, FL 34746Get directions →

Provider Business Mailing Address Details

Address
3769 Pleasant Hill RD
Kissimmee, FL 34746-2937
City
Kissimmee
State
FL
Zip
34746-2937
Phone Number
407-343-0357
Fax Number
407-343-7754

License Information

License Number (1)
PS62312
License State (1)
FL
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
06477
License State (2)
PR
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Odalis M Cruz Rivera?

The NPI number of Odalis M Cruz Rivera is 1780104067. It was assigned on June 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Odalis M Cruz Rivera?

Odalis M Cruz Rivera is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in FL under license number PS62312.

Where does Odalis M Cruz Rivera practice?

The practice location is 3769 Pleasant Hill RD, Kissimmee, FL 34746-2937. The office can be reached at 407-343-0357 (phone) or 407-922-7754 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780104067 directly on the NPPES registry website.

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