Individual
GISELE PORTES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 RIVER VIEW PL, NORTH WEYMOUTH, MA 02191-2218
(617) 462-0617
Mailing address
18 RIVER VIEW PL, NORTH WEYMOUTH, MA 02191-2218
(174) 620-6176
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
35843
NE
2085R0202X
Diagnostic Radiology Physician
282053
MA
2085R0202X
Diagnostic Radiology Physician
ME181552
FL
Other
Enumeration date
07/06/2016
Last updated
07/22/2026
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