| Doctor Name: | DR. MANUEL OMAR CRUZ-DIAZ |
| NPI Number: | 1164696118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 18056 |
| Business Practice Address: | 3533 S Alameda St Mciver Furman Building, Sute 301 Corpus Christi, TX - 784111721 |
| Business Phone Number: | 3616944718 |
| Business Fax Number: | |
| Mailing Address: | 3533 S Alameda St, Mciver Furman Building, Sute 301 CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784111721 |
| Phone Number: | 3616944718 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2008 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |