Individual
KRISTINE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PO BOX 142, TOHATCHI, NM 87325-0142
(505) 733-8100
(505) 733-2388
Mailing address
PO BOX 142, TOHATCHI, NM 87325-0142
(505) 733-8100
(505) 733-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42.0012719
VT
207Q00000X
Family Medicine Physician
Primary
MD2020-0899
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73330582
—
NM
Enumeration date
04/06/2010
Last updated
12/31/2024
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