Individual
MR. JUAN DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 2 KM. 39.5, BO. ALGARROBO SUITE 110, VEGA BAJA, PR 00693-0000
(787) 858-1580
(787) 807-2930
Mailing address
PO BOX 1554, VEGA BAJA, PR 00694-1554
(787) 454-7690
(787) 807-2930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3860
PR
208D00000X
General Practice Physician
3860
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4011902
—
NJ
Enumeration date
08/22/2006
Last updated
05/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us