Healthcare Provider Details

I. General information

NPI: 1447900956
Provider Name (Legal Business Name): ROLANDO LUIS CRUZ FERRER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 W SAMPLE RD
CORAL SPRINGS FL
33065-4039
US

IV. Provider business mailing address

9800 W SAMPLE RD
CORAL SPRINGS FL
33065-4039
US

V. Phone/Fax

Practice location:
  • Phone: 954-755-5504
  • Fax: 954-755-7052
Mailing address:
  • Phone: 954-755-5504
  • Fax: 954-755-7052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12523600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME170563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: