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General NPI Number Information
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NPI Number | 1639733207
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Entity Type | Individual
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Provider Name | ROBERTO LUIS CRUZ GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 7901 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619-4361
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Country | US
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Telephone | 813-940-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME173329
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License Number State | FL
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