Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 13080 | PR |
Y | 207VG0400X | Gynecologist | 13080 | PR |
NPI | 1568490696 |
---|---|
Provider Name | Dr. Jose Ramon Cruz |
First Address | Caguas, PR 00725 |
Second Address | Caguas, PR 00725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 12/06/2013 |