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NPI Code Detail

MEDICARE: CRUZ INTERNAL MEDICINE CORP.

MEDICARE: CRUZ INTERNAL MEDICINE CORP.
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
1207R00000XInternal Medicine Physician11349PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184763OTHERSSS

General Provider Information

NPI Number : 1194721399
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRUZ INTERNAL MEDICINE CORP.
Provider Business Mailing Address
First Line : P.O. BOX 190740
Second Line :
City : SAN JUAN
State : PR
Zip : 00919-0740
Country : US
Telephone Number : 787-763-3434
Fax Number : 787-763-2852
Provider Business Practice Location Address
First Line : 407 B FERNANDO MONTILLA ESQ J. J. JIMENEZ
Second Line :
City : HATO REY
State : PR
Zip : 00918
Country : US
Telephone Number : 787-763-3434
Fax Number : 787-763-2852
Authorized Official
Title or Position : PRESIDENT
Name : MRS. LYDIA ENID MORALES
Credential :
Telephone Number : 787-758-0222
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/22/2020

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Directions to “CRUZ INTERNAL MEDICINE CORP. ” Practice Location

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