Individual
LUIS DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 HAROLD FLEMING COURT, SPARTANBURG, SC 29303-4225
(864) 573-6320
(864) 573-6323
Mailing address
151 HAROLD FLEMING COURT, SPARTANBURG, SC 29303-4225
(864) 573-6320
(864) 573-6323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28826
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28826
SC
207RP1001X
Pulmonary Disease Physician
28826
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
28826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3212
—
SC
Enumeration date
07/19/2006
Last updated
12/30/2015
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