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Individual
MR. EDILBERTO DE LA CRUZ
Active
Individual
MR. EDILBERTO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
367H00000X
Anesthesiologist Assistant
Primary
C02961
MD
Other
Enumeration date
06/20/2006
Last updated
06/01/2011
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