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Individual
BEDFORD NIEVES CRUZ
Active
Individual
BEDFORD NIEVES CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD11360R
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD.11360R
LA
Other
Enumeration date
04/07/2006
Last updated
06/27/2018
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