Doctor Name: | ADA L RIVERA CRUZ |
NPI Number: | 1821321977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 18355 |
Business Practice Address: | Upr Medical Sciences Campus Rio Piedras, PR - 00936 |
Business Phone Number: | 7877582525 |
Business Fax Number: | |
Mailing Address: | 6300 Ave Isla Verde Apt 906, Isla Verde CAROLINA |
State: | PR |
Postal Code: | 009797157 |
Phone Number: | 7873615403 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |