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Individual
OMAR F. CRUZ ROSARIO
Active
Individual
OMAR F. CRUZ ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
004889
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00231832
REGISTRY NUMBER
PR
Enumeration date
03/09/2020
Last updated
03/09/2020
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