Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Ximena Cruz Mactavish

Individual provider Pharmacist · NPI 1659892214

Diana Ximena Cruz Mactavish is a Pharmacist in Lake Park, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

500 N Congress Ave
Lake Park, FL 33403-3802
Phone: (561) 352-2381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS56388 (FL)

Record details

NPI number1659892214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2017
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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