Provider Demographics
NPI:1730131624
Name:CRUZ, FLOR PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOR
Middle Name:PATRICIA
Last Name: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:CALLE 24A 2V6
Mailing Address - Street 2:MIRADOR DE BAIROA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-744-6875
Mailing Address - Fax:
Practice Address - Street 1:2V6 CALLE 24A
Practice Address - Street 2:MIRADOR DE BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1014
Practice Address - Country:US
Practice Address - Phone:787-744-6875
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14448208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21219CROtherSSS/MEDICARE
PRH-93173Medicare UPIN