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NPI Code Detail

MEDICARE: DR. PRISCILLA CRISTINA CRUZ MD, MPH

MEDICARE: DR. PRISCILLA CRISTINA CRUZ MD, MPH
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 : 1841132396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRISCILLA CRISTINA CRUZ MD, MPH
Provider Business Mailing Address
First Line : 4615 LINDELL BLVD APT 205
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-3718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 YORK ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3220
Country : US
Telephone Number : 203-688-4242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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