Individual
DR. PATRICIA BALCACER DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5512
(305) 243-4613
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5512
(305) 243-4613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301092773
MI
2085R0202X
Diagnostic Radiology Physician
5315037122
MI
2085R0202X
Diagnostic Radiology Physician
Primary
ME124475
FL
Other
Enumeration date
08/02/2010
Last updated
11/15/2018
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