Individual
GUSTAVO RIVERA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAGUNA GARDENS SHOPPING CENTER, SUITE 211, CAROLINA, PR 00979
(787) 791-8897
(787) 791-8801
Mailing address
PO BOX 20000 PMB 563, CANOVANAS, PR 00729
(787) 768-7900
(787) 768-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13764
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1763
MMM
—
01
—
1937
HUMANA VIA APS
—
01
—
222151
PREFERRED HEALTH
—
01
—
2602997
ACAA
—
01
—
411255024
PROSAM
—
01
—
84357
SSS
—
01
—
9658
INTERNATIONAL MED CARD
—
01
—
PQ1051
PALIC
—
Enumeration date
09/29/2006
Last updated
02/04/2015
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