Provider Demographics
NPI:1093773731
Name:CRUZ CRUZ, LUIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:M
Last Name:CRUZ CRUZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 NORTE, CALLE DR. BASORA , EDIFICIO MEDICO IV
Mailing Address - Street 2:OFICINA 109
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-834-6290
Mailing Address - Fax:787-831-4206
Practice Address - Street 1:55 CALLE DR BASORA N
Practice Address - Street 2:OFICINA 109
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4810
Practice Address - Country:US
Practice Address - Phone:787-834-6290
Practice Address - Fax:787-831-4206
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR7686207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology