Provider Demographics
NPI:1205029675
Name:OFICINA DENTAL DRA ALEXANDRA CRUZ, CSP
Entity Type:Organization
Organization Name:OFICINA DENTAL DRA ALEXANDRA CRUZ, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA CRUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:OYOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-262-5600
Mailing Address - Street 1:272 CALLE MARGINAL
Mailing Address - Street 2:STE 3 EDIFICIO TROPICAL PLAZA
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2421
Mailing Address - Country:US
Mailing Address - Phone:787-262-5600
Mailing Address - Fax:787-262-5600
Practice Address - Street 1:272 CALLE MARGINAL
Practice Address - Street 2:STE 3 EDIFICIO TROPICAL PLAZA
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2421
Practice Address - Country:US
Practice Address - Phone:787-262-5600
Practice Address - Fax:787-262-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty