Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 0055895 | FL |
NPI | 1356337802 |
---|---|
Provider Name | Dr. Maurice Cruz |
First Address | Coral Gables, FL 33146-2423 |
Second Address | Mangonia Park, FL 33407-2450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14293 | HEALTHEASE (01) | FL |
14293 | STAYWELL (01) | FL |
15168 | BLUE CROSS & BLUE SHIELD (01) | FL |
203191 | AVMED (01) | FL |
2053218 | AETNA (01) | FL |
209935 | AMERIGROUP (01) | FL |
23942 | SOUTHCARE (01) | FL |
370197200 | (05) | FL |
994755 | NEIGHBORHOOD HEALTH PARTN (01) | FL |
F33428 | (02) | FL |
P211917 | OXFORD HEALTH (01) | FL |