Doctor Name: | DR. ANGEL M. CRUZ |
NPI Number: | 1366682338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 17465 |
Business Practice Address: | Urb. Villa Serena Calle Lirio P-5 Arecibo, PR - 00612 |
Business Phone Number: | 7873561323 |
Business Fax Number: | |
Mailing Address: | Po Box 140982, ARECIBO |
State: | PR |
Postal Code: | 006140982 |
Phone Number: | 7873561323 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |