# SYLVIA S CRUZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225008105
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0102050038 | VA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 1634 | WV | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 5101012085 | MI | — |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 04/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0093819000 | — | WV |
| 01 | — | 51D0952997 | CLIA | — |
| 01 | — | 6213251 | MEDICAID | VA |