Healthcare Provider Details

I. General information

NPI: 1447453691
Provider Name (Legal Business Name): DULCE M. CRUZ OLIVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AVE FRAGOSO STE 31
CAROLINA PR
00983-3104
US

IV. Provider business mailing address

209 CALLE DUKE
SAN JUAN PR
00927-4121
US

V. Phone/Fax

Practice location:
  • Phone: 314-604-3850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number24784
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number24784
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: