Provider Demographics
NPI:1255596342
Name:LA CRUZ RONDON, MARIA J
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:LA CRUZ RONDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8313 SOUTHWEST FWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1612
Mailing Address - Country:US
Mailing Address - Phone:832-617-3080
Mailing Address - Fax:713-832-4160
Practice Address - Street 1:7333 NORTH FWY STE 430
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1301
Practice Address - Country:US
Practice Address - Phone:832-482-1200
Practice Address - Fax:832-957-6204
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2713207RG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine