Individual
CELSO FERNANDO DE LA CRUZ LUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1599 NW 9TH AVE STE 203, BOCA RATON, FL 33486-1310
(561) 338-8884
(561) 338-5230
Mailing address
1599 NW 9TH AVE STE 203, BOCA RATON, FL 33486-1310
(561) 338-8884
(561) 338-5230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME162053
FL
207RC0000X
Cardiovascular Disease Physician
S3149
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN19764
FL
Other
Enumeration date
06/20/2014
Last updated
10/06/2023
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