Individual
SHAYRANISSE PAGAN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9066 SW 73RD CT, MIAMI, FL 33156-2964
(787) 384-8442
Mailing address
9066 SW 73RD CT APT 1202, MIAMI, FL 33156-2968
(787) 384-8442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31438
FL
208D00000X
General Practice Physician
19699
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19699
—
PR
Enumeration date
02/07/2017
Last updated
05/14/2024
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