# CARLOS J FERNANDEZ CRUZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARLOS J FERNANDEZ CRUZ LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770219388
- **Authorized official:** CARLOS J FERNANDEZ-CRUZ MD (PRESIDENT)
- **Authorized official phone:** (939) 338-0793

## Contact information

- **Practice address:** 1801 AVE PONCE DE LEON STE 409-410, SAN JUAN, PR 00909-1900
- **Practice address phone:** (939) 338-0793
- **Mailing address:** 400 AVE FD ROOSEVEIT STE 408, SAN JUAN, PR 00918
- **Mailing address phone:** (939) 338-0793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 07/26/2022