Individual
ELDIE LEVI CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 DR MARTIN LUTHER KING NE, 301, ALBUQUERQUE, NM 87102-2567
(505) 727-7090
(505) 727-7099
Mailing address
715 DR MARTIN LUTHER KING NE, 301, ALBUQUERQUE, NM 87102-2567
(505) 727-7090
(505) 727-7099
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2013-0287
NM
208600000X
Surgery Physician
MD60072876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69586764
—
NM
Enumeration date
02/06/2007
Last updated
02/17/2016
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