Provider Demographics
NPI:1376788281
Name:CRUZ NAVARRO, IRIS M (MD)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:M
Last Name:CRUZ NAVARRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IRIS
Other - Middle Name:M
Other - Last Name:CRUZ NAVARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:MEDICAL CENTER PO 191811
Mailing Address - Street 2:HOSP ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1811
Mailing Address - Country:US
Mailing Address - Phone:787-763-4149
Mailing Address - Fax:
Practice Address - Street 1:CENTER MEDICAL
Practice Address - Street 2:HOSP ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-1811
Practice Address - Country:US
Practice Address - Phone:787-763-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17914208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice