Physician Compare National (NPI:1639169253)

HEALTHCARE PROVIDER: GRIMANESSA CRUZ-CABANAS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639169253
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719176809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110105000192
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CRUZ CABANAS
	Individual professional last name
Provider First Name	GRIMANESSA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	500 AVE DEGETAU
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 411
	Group Practice or individual's line 2 address
City	CAGUAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007257307
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877433886
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y