Provider Demographics
NPI:1033374087
Name:CRUZ, SONIA (MEDICINE DOCTOR)
Entity Type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MEDICINE DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALLE CAPARRA
Mailing Address - Street 2:URB PONCE DE LEON
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1040 AVE CORAZONES
Practice Address - Street 2:CFSE
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-833-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR58962083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1007166OtherCIGNA HEALTHCARE
FL44441345OtherUNITED HEALTHCARE
FL74723059OtherAETNA