Individual
DR. ANTONIO A. DE LA CRUZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARIMED PLZ, B-1 CALLE SANTA CRUZ SUITE 403-404, BAYAMON, PR 00961-6928
(787) 798-7070
(787) 787-2107
Mailing address
B-17 CALLE POPPY, PARQUE FORESTAL, SAN JUAN, PR 00926
(787) 798-7070
(787) 787-2107
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
12964
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81409
TRIPLE S
PR
01
—
9610027
HUMANA
PR
Enumeration date
02/21/2006
Last updated
11/02/2011
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