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General NPI Number Information
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NPI Number | 1740832062
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Entity Type | Individual
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Provider Name | RUBEN JAVIER CRUZ CHAMORRO MD, MS
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | AV. JUAN PONCE DE LEON, HATO REY CENTRAL
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | VALLE ALTO LLANURA ST 1798
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-219-0893
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME170356
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License Number State | FL
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