MEDICARE: DR. MARCOS JAVIER CRUZ 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
1	2084N0400X	Neurology Physician	25MA08692000	NJ
2	2084N0400X	Neurology Physician	68137	GA
3	2084N0400X	Neurology Physician	1.050511	CT
4	2084N0400X	Neurology Physician	A119996	CA
5	2084N0400X	Neurology Physician	MMD.34404	SC
6	2084N0400X	Neurology Physician	D0074495	MD
7	2084N0400X	Neurology Physician	MD429359	PA
8	2084N0400X	Neurology Physician	MD155832	OR
9	2084N0400X	Neurology Physician	51738	CO
10	2084N0400X	Neurology Physician	114674	FL
11	2084N0400X	Neurology Physician	256591-1	NY
12	2084N0400X	Neurology Physician	S3809	TX
13	2084N0400X	Neurology Physician	44852	AZ
14	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	19613	PR
15	2084N0400X	Neurology Physician	43409	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	103I131610	OTHER	TN	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1265556898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCOS JAVIER CRUZ MD

Provider Business Mailing Address
First Line	:	35 CALLE JUAN C BORBON STE 67-411
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5374
Country	:	US
Telephone Number	:	787-650-7272
Fax Number	:	615-822-8909

Provider Business Practice Location Address
First Line	:	35 CALLE JUAN C BORBON STE 67-411
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5374
Country	:	US
Telephone Number	:	787-650-7272
Fax Number	:	615-822-8909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/06/2025

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