Doctor Name: | DR. JOSE A. CRUZ |
NPI Number: | 1194712026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8556 |
Business Practice Address: | 16 Calle Barcelo Toa Alta, PR - 009532444 |
Business Phone Number: | 7878702270 |
Business Fax Number: | 7878701508 |
Mailing Address: | Cond. El Cordobes 11a, Ave. San Patricio GUAYNABO |
State: | PR |
Postal Code: | 00968 |
Phone Number: | 7878701529 |
Fax Number: | 7878701508 |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |