Individual
CARLOS J FERNANDEZ-CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 AVE PONCE DE LEON STE 409-410, SAN JUAN, PR 00909-1900
(939) 338-0793
Mailing address
400 AVE FD ROOSEVELT, STE 408, SAN JUAN, PR 00918-2163
(787) 765-1919
(787) 751-8739
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19622
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038174400
—
PR
Enumeration date
03/26/2014
Last updated
07/15/2022
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