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NPI Code Detail

MEDICARE: RAQUEL E CRUZ

MEDICARE:   RAQUEL E CRUZ
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
1163WM1400XNurse Massage Therapist (NMT)9588306FL

General Provider Information

NPI Number : 1275487472
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL E CRUZ
Provider Business Mailing Address
First Line : 14722 NW 142ND TER
Second Line :
City : ALACHUA
State : FL
Zip : 32615-8610
Country : US
Telephone Number : 352-660-3090
Fax Number :
Provider Business Practice Location Address
First Line : 1601 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1135
Country : US
Telephone Number : 800-324-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ RAQUEL E CRUZ ” Practice Location

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