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NPI Code Detail

MEDICARE: BERNARDO VALOEZ CRUZ M.D.

MEDICARE: BERNARDO VALOEZ CRUZ 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
1207L00000XAnesthesiology Physician25MA04516800NJ

Other Identifiers

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

General Provider Information

NPI Number : 1215929153
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARDO VALOEZ CRUZ M.D.
Provider Business Mailing Address
First Line : PO BOX 450
Second Line :
City : CLIFFSIDE PARK
State : NJ
Zip : 07010-0450
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 97 W PARKWAY
Second Line :
City : POMPTON PLAINS
State : NJ
Zip : 07444-1647
Country : US
Telephone Number : 973-831-5140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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