Individual
DR. ERNESTO R CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(602) 266-2200
(602) 240-6177
Mailing address
PO BOX 61773, PHOENIX, AZ 85082-1773
(602) 266-2200
(602) 240-5862
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429929
—
AZ
Enumeration date
01/28/2006
Last updated
09/28/2012
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