Provider Demographics
NPI:1770129652
Name:DR GUILLERMO CRUZ PALOMO INTERNAL MEDICINE PSC
Entity type:Organization
Organization Name:DR GUILLERMO CRUZ PALOMO INTERNAL MEDICINE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:PALOMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-342-1323
Mailing Address - Street 1:78 PINERO ST.
Mailing Address - Street 2:PUEBLO DE RIO PIEDRAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3614
Mailing Address - Country:US
Mailing Address - Phone:787-765-5715
Mailing Address - Fax:
Practice Address - Street 1:78 PINERO ST.
Practice Address - Street 2:PUEBLO DE RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3614
Practice Address - Country:US
Practice Address - Phone:787-765-5715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty