Provider Demographics
NPI:1669741120
Name:CRUZ CALIZ, MICHAEL JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOEL
Last Name:CRUZ CALIZ
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:BARRIO MONACILLOS, CENTRO MEDICO RIO PIEDRAS, PR 936
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:787-480-2841
Mailing Address - Fax:
Practice Address - Street 1:735 AVE PONCE DE LEON STE 716
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-5030
Practice Address - Country:US
Practice Address - Phone:787-765-3079
Practice Address - Fax:787-767-7170
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19932207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine