| Doctor Name: | NERINA ELVIRA DE LA CRUZ |
| NPI Number: | 1104048578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12514 |
| Business Practice Address: | 113-20 Calle 77 Villa Carolina Carolina, PR - 009854111 |
| Business Phone Number: | 7877695899 |
| Business Fax Number: | |
| Mailing Address: | 113-20 Calle 77, Villa Carolina CAROLINA |
| State: | PR |
| Postal Code: | 009854111 |
| Phone Number: | 7877695899 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |