Provider Demographics
NPI:1952512303
Name:CRUZADO, ARMANDO JAVIER (MD)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:JAVIER
Last Name:CRUZADO
Suffix:
Gender:M
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:MANSIONES VISTAMAR MARINA
Mailing Address - Street 2:1420 MARBELLA STREET
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-762-3047
Mailing Address - Fax:
Practice Address - Street 1:MANSIONES VISTAMAR MARINA
Practice Address - Street 2:1420 MARBELLA STREET
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-762-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15946208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery