Provider Demographics
NPI:1801857123
Name:CRUZ CABRERA, ANA Y (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:Y
Last Name:CRUZ CABRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:COND PORTAL DE SOFIA 111
Mailing Address - Street 2:CELILIO URBINA APTO 3107
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5972
Mailing Address - Country:US
Mailing Address - Phone:787-268-7271
Mailing Address - Fax:787-268-7271
Practice Address - Street 1:CLINICA BORINQUEN SUITE 106
Practice Address - Street 2:AVE CAMPO RICO
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-762-9409
Practice Address - Fax:787-701-1134
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15964208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23441Medicare ID - Type Unspecified