Doctor Name: | DR. CARLOS RAFAEL CRUZ |
NPI Number: | 1730123928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11855 |
Business Practice Address: | Cond Grand View 455 Carr 837 Apt 110 Guaynabo, PR - 00971 |
Business Phone Number: | 7877089882 |
Business Fax Number: | |
Mailing Address: | Cond. Grand View 455 Carr 837, Apt 110 GUAYNABO |
State: | PR |
Postal Code: | 00971 |
Phone Number: | 7877089882 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |