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Organization

CRUZ INTERNAL MEDICINE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYDIA ENID MORALES (PRESIDENT)
(787) 758-0222
Entity
Organization

Contact information

Practice address
407 B FERNANDO MONTILLA ESQ J. J. JIMENEZ, HATO REY, PR 00918
(787) 763-3434
(787) 763-2852
Mailing address
P.O. BOX 190740, SAN JUAN, PR 00919-0740
(787) 763-3434
(787) 763-2852

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11349
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84763
SSS
Enumeration date
06/22/2005
Last updated
08/22/2020
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