Provider Demographics
NPI:1750361432
Name:ESQUERDO CRUZ, LUIS A (DPM)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:ESQUERDO CRUZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:822 CALLE MOLUCAS
Mailing Address - Street 2:COUNTRY CLUB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-1723
Mailing Address - Country:US
Mailing Address - Phone:787-752-5303
Mailing Address - Fax:787-757-2032
Practice Address - Street 1:822 CALLE MOLUCAS
Practice Address - Street 2:COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-1723
Practice Address - Country:US
Practice Address - Phone:787-752-5303
Practice Address - Fax:787-757-2032
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR035213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRT26844Medicare UPIN
PR0048026Medicare PIN