Provider Demographics
NPI:1629582333
Name:CRUZ QUILES HEALTH SERVICES P. S. C.
Entity Type:Organization
Organization Name:CRUZ QUILES HEALTH SERVICES P. S. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRUZ QUIILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-872-5042
Mailing Address - Street 1:PO BOX 1747
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1747
Mailing Address - Country:US
Mailing Address - Phone:787-872-5042
Mailing Address - Fax:787-872-5042
Practice Address - Street 1:3106 AVE JUAN HERNANDEZ ORTIZ
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-3614
Practice Address - Country:US
Practice Address - Phone:787-872-5042
Practice Address - Fax:787-872-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center