Individual
DR. ELIZARDO MATOS CRUZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CALLE 44 SE, RPTO METROPOLITANO, SAN JUAN, PR 00921-2719
(787) 281-6559
(787) 281-6142
Mailing address
PO BOX 364388, SAN JUAN, PR 00936-4388
(787) 281-6559
(787) 281-6145
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9058
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9058
LICENSE
PR
Enumeration date
06/14/2006
Last updated
07/08/2007
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