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NPI Code Detail

MEDICARE: CRUZ MEDICAL LLC

MEDICARE: CRUZ MEDICAL LLC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1578422051
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRUZ MEDICAL LLC
Provider Business Mailing Address
First Line : PO BOX 1006
Second Line :
City : COAMO
State : PR
Zip : 00769-1006
Country : US
Telephone Number : 787-803-1244
Fax Number :
Provider Business Practice Location Address
First Line : 3 CALLE SEGUNDO BERNIER
Second Line :
City : COAMO
State : PR
Zip : 00769-3035
Country : US
Telephone Number : 787-803-1244
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PABLO CRUZ
Credential : MD
Telephone Number : 787-803-1244
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “CRUZ MEDICAL LLC ” Practice Location

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