Doctor Name: | JORANNIE CRUZ |
NPI Number: | 1235248949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15986 |
Business Practice Address: | Calle B # 34 Urb Casa Linda Court Bayamon, PR - 00959 |
Business Phone Number: | 7878695900 |
Business Fax Number: | 7877226980 |
Mailing Address: | Po Box 6942, BAYAMON |
State: | PR |
Postal Code: | 009605942 |
Phone Number: | 7874591513 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |