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NPI Code Detail

MEDICARE: NATHALIA CRUZ

MEDICARE: NATHALIA CRUZ
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770363426
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIA CRUZ
Provider Business Mailing Address
First Line : 1390 WOODBINE WAY APT 1304
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33418-6569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11501 N MILITARY TRL
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6507
Country : US
Telephone Number : 561-805-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ NATHALIA CRUZ ” Practice Location

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