Individual
JONATHAN DELACRUZ MADARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 SOQUEL DR, SUITE 720, SANTA CRUZ, CA 95065-1705
(562) 852-9206
Mailing address
1555 SOQUEL DR, SUITE 720, SANTA CRUZ, CA 95065-1705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A101297
CA
207R00000X
Internal Medicine Physician
A101297
CA
Other
Enumeration date
09/13/2008
Last updated
04/12/2013
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