Provider Demographics
NPI:1831599331
Name:CRUZ, EDUARDO ANDRES (DMD)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:ANDRES
Last Name:CRUZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6738
Mailing Address - Country:US
Mailing Address - Phone:954-532-1259
Mailing Address - Fax:954-532-1273
Practice Address - Street 1:3140 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6738
Practice Address - Country:US
Practice Address - Phone:954-532-1259
Practice Address - Fax:954-532-1273
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL12326122300000X
FLDN225001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
No122300000XDental ProvidersDentist