Provider Demographics
NPI:1699182238
Name:GIL CRUZ, GABY SARAI (MD)
Entity Type:Individual
Prefix:
First Name:GABY
Middle Name:SARAI
Last Name:GIL 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 1:408 CREPE MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-7404
Mailing Address - Country:US
Mailing Address - Phone:917-575-9849
Mailing Address - Fax:833-645-0923
Practice Address - Street 1:408 CREPE MYRTLE DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-7404
Practice Address - Country:US
Practice Address - Phone:917-575-9849
Practice Address - Fax:833-645-0923
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine