Individual
DR. INGRID CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
45 CALLE 8 SUITE 14, GUAYNABO, PR 00966-1766
(787) 781-9511
(787) 720-3192
Mailing address
PO BOX 360650, SAN JUAN, PR 00936-0650
(787) 781-9511
(787) 720-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2564
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660672868
EMPLOYER IDENTIFICATION #
PR
Enumeration date
06/27/2006
Last updated
01/01/2016
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