Provider Demographics
NPI:1043207467
Name:CRUZ, NORMA I (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:I
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3205 AVE ISLA VERDE
Mailing Address - Street 2:COND. THE GALAXY, APT. 1404
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-4924
Mailing Address - Country:US
Mailing Address - Phone:787-726-6974
Mailing Address - Fax:
Practice Address - Street 1:1801 AVE PONCE DE LEON
Practice Address - Street 2:SANTURCE MEDICAL MALL, SUITE 412
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1900
Practice Address - Country:US
Practice Address - Phone:787-726-0440
Practice Address - Fax:787-727-5574
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7057208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-9242Medicare ID - Type UnspecifiedM.D.
PRD-08500Medicare UPIN