Provider Demographics
NPI:1407918584
Name:DIAZ-CRUZ, MARIA MAGDALENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MAGDALENA
Last Name:DIAZ-CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 S RED RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5343
Mailing Address - Country:US
Mailing Address - Phone:305-663-1075
Mailing Address - Fax:786-275-8403
Practice Address - Street 1:7550 S RED RD
Practice Address - Street 2:SUITE 111
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5343
Practice Address - Country:US
Practice Address - Phone:305-663-1075
Practice Address - Fax:786-275-8403
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27962208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics