Individual
DR. JULIO ANGEL DE LA CRUZ - ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 CALLE FONT MARTELO, HUMACAO, PR 00791-3250
(787) 852-6200
(787) 852-6704
Mailing address
PO BOX 637, HUMACAO, PR 00792-0637
(787) 852-6200
(787) 852-6704
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
4133
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065072
BLUE CROSS BLUE SHIELD
PR
01
—
2000911
ACAA
PR
Enumeration date
11/30/2006
Last updated
07/09/2007
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