Healthcare Provider Details

I. General information

NPI: 1215772496
Provider Name (Legal Business Name): MRS. GUIMARIE ROJAS CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 7 BOX 17191
TOA ALTA PR
00953-8847
US

IV. Provider business mailing address

RR 7 BOX 17191
TOA ALTA PR
00953-8847
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-3758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number3704
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: