Individual
DR. ROBERTO MANUEL CRUZ GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHSA
Contact information
Practice address
19000 SW 377TH ST, FLORIDA CITY, FL 33034-6407
(305) 242-1900
Mailing address
19000 SW 377TH ST, FLORIDA CITY, FL 33034-6407
(305) 242-1900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22965
PR
208D00000X
General Practice Physician
ACN1483
FL
Other
Enumeration date
03/21/2022
Last updated
10/04/2022
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