Individual
IDAMYLIZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11-C PELLIN CRUZ, TRUJILLO ALTO, PR 00976-0097
(787) 605-5822
Mailing address
HC 61 BOX 4266, TRUJILLO ALTO, PR 00976-9712
(787) 605-5822
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
PR
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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