Provider Demographics
NPI:1104035849
Name:CRUZ RIVERA, LOIDA
Entity Type:Individual
Prefix:DR
First Name:LOIDA
Middle Name:
Last Name:CRUZ RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LOIDA
Other - Middle Name:
Other - Last Name:CRUZ RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:H21 CALLE 4
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4021
Mailing Address - Country:US
Mailing Address - Phone:787-795-2111
Mailing Address - Fax:787-795-2111
Practice Address - Street 1:H21 CALLE 4
Practice Address - Street 2:VALPARAISO
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4021
Practice Address - Country:US
Practice Address - Phone:787-795-2111
Practice Address - Fax:787-795-2111
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR43452080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine