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Individual

MARIANA VIGIOLA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036153330
IL
208600000X
Surgery Physician
297702-1
NY
208600000X
Surgery Physician
M-2253
GU
2086S0127X
Trauma Surgery Physician
036153330
IL
2086S0127X
Trauma Surgery Physician
Primary
D0101830
MD

Other

Enumeration date
04/30/2012
Last updated
08/21/2025
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