Individual
KEVIN OMAR LAUREANO-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(718) 928-5000
(631) 675-9301
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
342844
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2021
Last updated
04/22/2026
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