| Doctor Name: | DR. CAITLIN O'CONNOR CRUZ |
| NPI Number: | 1710272208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082197 |
| Business Phone Number: | 7579535000 |
| Business Fax Number: | |
| Mailing Address: | 620 John Paul Jones Cir, PORTSMOUTH |
| State: | VA |
| Postal Code: | 237082197 |
| Phone Number: | 7579535000 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2011 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |