Doctor Name: | YANIRIS GARCIA CRUZ |
NPI Number: | 1639527336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 32,244-R |
Business Practice Address: | Mayaguez Medical Center Educacion Medica Graduada #410 Ave. Hostos Mayaguez, PR - 006800600 |
Business Phone Number: | 7876529200 |
Business Fax Number: | |
Mailing Address: | Po Box 607, SABANA SECA |
State: | PR |
Postal Code: | 009520607 |
Phone Number: | 9392742364 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 32,244-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |