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General NPI Number Information
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NPI Number | 1447678727
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 390 SE 9TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-5530
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Country | US
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Telephone | 305-642-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 390 SE 9TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-5530
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Country | US
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Telephone | 305-642-5366
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Fax | 305-631-3803
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME 118788
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License Number State | FL
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