Individual
JOSE A CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4302 ALTON RD, SUITE 660, MIAMI BEACH, FL 33140-2891
(305) 674-2876
Mailing address
4302 ALTON RD, SUITE 660, MIAMI BEACH, FL 33140-2891
(305) 674-2876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME90082
FL
283Q00000X
Psychiatric Hospital
ME90082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270039500
—
FL
Enumeration date
10/24/2005
Last updated
10/20/2016
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