Provider Demographics
NPI:1013027333
Name:CRUZ, ORLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:CRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-1465
Mailing Address - Country:US
Mailing Address - Phone:787-653-3434
Mailing Address - Fax:314-222-0614
Practice Address - Street 1:100 LUIS MUNOZ MARIN AVENUE
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:314-222-0614
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17784174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110831OtherBLUE CROSS-BLUE SHIELD
MO290274OtherHEALTHLINK
MO5859116OtherAETNA
MO208493601Medicaid
MO11563OtherESSENCE
MO2056665OtherAETNA HMO
MO1555912OtherCIGNA
MO2220OtherHEALTHCARE USA
MO9200025OtherUNITED HEALTHCARE
MO290274OtherGHP
MO11563OtherESSENCE
MO208493601Medicaid