Organization
HENRY DE JESUS DE LA CRUZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY DE JESUS DE LA CRUZ MD (PRESIDENTE)
(787) 963-0317
Entity
Organization
Contact information
Practice address
AVE SANCHEZ OZORIO ESQ VIA 1 VILLA FONTANA, CAROLINA, PR 00983
(787) 963-0317
(787) 963-0318
Mailing address
9 CALLE VIOLETA APT 702, CAROLINA, PR 00979-7370
(787) 963-0317
(787) 963-0318
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174940068
NPI
PR
Enumeration date
02/24/2022
Last updated
02/24/2022
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