Individual
ALEJANDRO JAVIER MATOS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575
Mailing address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD485301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16212633
CAQH
—
Enumeration date
09/07/2014
Last updated
06/18/2024
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