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NPI Code Detail

MEDICARE: DR. PEDRO J CRUZ TORRES MD

MEDICARE:  DR. PEDRO J CRUZ TORRES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianME85694FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104897453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEDRO J CRUZ TORRES MD
Provider Business Mailing Address
First Line : 2565 ENTERPRISE RD
Second Line : STE 400
City : ORANGE CITY
State : FL
Zip : 32763-7912
Country : US
Telephone Number : 386-201-9105
Fax Number : 386-201-9106
Provider Business Practice Location Address
First Line : 2565 ENTERPRISE RD
Second Line : STE 400
City : ORANGE CITY
State : FL
Zip : 32763-7912
Country : US
Telephone Number : 386-201-9105
Fax Number : 386-201-9106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 05/19/2020

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