Individual
ANGELICA RIVERA-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME138218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102766300
—
FL
01
—
LC772
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/27/2012
Last updated
03/29/2021
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