MEDICARE: MERLE CORREA CRUZ-ENCARNACION M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MA044053	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043295579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLE CORREA CRUZ-ENCARNACION M.D.

Provider Business Mailing Address
First Line	:	201 SAINT PAULS AVE
Second Line	:	SUITE 1D
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-3724
Country	:	US
Telephone Number	:	201-653-7533
Fax Number	:	201-653-7960

Provider Business Practice Location Address
First Line	:	201 SAINT PAULS AVE
Second Line	:	SUITE 1D
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-3724
Country	:	US
Telephone Number	:	201-653-7533
Fax Number	:	201-653-7960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	07/08/2007

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Directions to “ MERLE CORREA CRUZ-ENCARNACION M.D.” Practice Location

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