Provider Demographics
NPI:1457765448
Name:EXPRESSCARE INC
Entity type:Organization
Organization Name:EXPRESSCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTES-MAISONET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-619-1117
Mailing Address - Street 1:PO BOX 13867
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-3867
Mailing Address - Country:US
Mailing Address - Phone:787-936-2100
Mailing Address - Fax:787-919-0640
Practice Address - Street 1:1100 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907-4708
Practice Address - Country:US
Practice Address - Phone:787-721-9154
Practice Address - Fax:787-721-2983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-32223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR39894500Medicaid
2146846OtherPK