Provider Demographics
NPI:1184822819
Name:QUILES-CRUZ, FRANCISCO J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:QUILES-CRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 SW HEALTH PKWY
Mailing Address - Street 2:STE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3434 HANCOCK BRIDGE PKWY
Practice Address - Street 2:STE 301
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7094
Practice Address - Country:US
Practice Address - Phone:877-856-3774
Practice Address - Fax:239-599-2625
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105315207R00000X
PR26078208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL146FMOtherBCBS
FL146FMOtherBCBS