# KIM I DE LA CRUZ

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

## Provider details

- **NPI number:** 1902059447
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | 35.156312 | OH | — |
| 208600000X | Surgery Physician | 0101242365 | VA | — |
| 208600000X | Surgery Physician | 292123 | MA | — |
| 208600000X | Surgery Physician | 35.156312 | OH | — |
| 208600000X | Surgery Physician | N0722 | TX | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 0101242365 | VA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 292123 | MA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35.156312 | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | N0722 | TX | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 07/15/2026