Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 7129 | PR |
NPI | 1306961008 |
---|---|
Provider Name | Dr. Rosa Ileana Cruz |
First Address | Santurce, PR 00910 |
Second Address | Santurce, PR 00910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |