Individual
DR. CARL NELSON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MATEO FAJARDO 8, HORMIGUEROS, PR 00660
(787) 840-6055
(787) 849-6055
Mailing address
VILLA SULTANITA, 553 CALLE J APONTE DE SILVA, MAYAGUEZ, PR 00680
(787) 849-6055
(787) 849-6055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6961
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100150W
MEDICARE Y MUCHO MAS
PR
01
—
1649
PREFERRED MEDICARE CHOICE
PR
01
—
548487045
MEDICAL CARD SYSTEM
PR
Enumeration date
09/27/2006
Last updated
07/09/2007
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