Individual
NICOLE MARIE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 N KENDALL DR, MIAMI, FL 33176-2144
(305) 595-4070
Mailing address
10476 SW 22ND ST, MIAMI, FL 33165-7912
(305) 606-3912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME174933
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
07/16/2025
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