# MARIANA VIGIOLA CRUZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104184944
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036153330 | IL | — |
| 208600000X | Surgery Physician | 297702-1 | NY | — |
| 208600000X | Surgery Physician | M-2253 | GU | — |
| 2086S0127X | Trauma Surgery Physician | 036153330 | IL | — |
| 2086S0127X | Trauma Surgery Physician | D0101830 | MD | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 08/21/2025
