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General NPI Number Information
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NPI Number | 1750687695
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Entity Type | Individual
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Provider Name | LORENA CORA-CRUZ D.M.D
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Gender | Female
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 19 AVE LUIS MUNOZ MARIN # 2-E
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City | CAGUAS
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State | PR
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Zip | 00725-2000
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Country | US
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Telephone | 787-692-8229
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Fax |
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Provider Business Mailing Address
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Address Line | ST. A-B #5 URB. SAN ANTONIO
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City | ARROYO
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State | PR
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Zip | 00714-2258
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Country | US
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Telephone | 787-613-2221
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2809
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2809
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License Number State | PR
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