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NPI Code Detail

MEDICARE: DR. MAIRENI R CRUZ MD

MEDICARE: DR. MAIRENI R CRUZ MD
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 Physician14218NH
2207RA0401XAddiction Medicine (Internal Medicine) Physician276933MA
32084A0401XAddiction Medicine (Psychiatry & Neurology) Physician66373WI
4207R00000XInternal Medicine Physician276933MA

General Provider Information

NPI Number : 1821228727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAIRENI R CRUZ MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number : 608-829-5247
Fax Number :
Provider Business Practice Location Address
First Line : 2033 MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 978-249-1295
Fax Number : 978-249-5669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2009
Last Update Date : 07/15/2025

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Directions to “ DR. MAIRENI R CRUZ MD” Practice Location

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