Individual
MS. DINIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5735 NANJACK CIRCLE, MEMPHIS, TN 38115-2058
(901) 729-6522
(901) 572-1908
Mailing address
5180 PARK AVENUE, SUITE 200, MEMPHIS, TN 38119
(901) 729-6522
(901) 572-1908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3845444
—
TN
Enumeration date
09/01/2005
Last updated
08/11/2021
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