Provider Demographics
NPI:1093745598
Name:CRUZ JOVE, EVA (MD)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:CRUZ JOVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FD ROOSEVELT
Mailing Address - Street 2:LA TORRE DE PLAZA LAS AMERICAS SUIT 403
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-474-0820
Mailing Address - Fax:787-523-0955
Practice Address - Street 1:525 AVE FD ROOSEVELT OFC 403
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8050
Practice Address - Country:US
Practice Address - Phone:787-474-0820
Practice Address - Fax:787-523-0955
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13823174400000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13823OtherLICENSE
PR13823OtherLICENSE