MEDICARE: JAIME CRUZ TAVAREZ

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1699668178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME CRUZ TAVAREZ

Provider Business Mailing Address
First Line	:	11407 ALMEDA GENOA RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-4517
Country	:	US
Telephone Number	:	787-376-6453
Fax Number	:

Provider Business Practice Location Address
First Line	:	11407 ALMEDA GENOA RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-4517
Country	:	US
Telephone Number	:	787-376-6453
Fax Number	:

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

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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Directions to “ JAIME CRUZ TAVAREZ ” Practice Location

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