Organization
IDXPERT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORLANDO CRUZ M.D. (PRESIDENT)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA-SAN PABLO CAGUAS HOSPITAL, 100 LUIS MUNOZ MARIN AVE., URB. MARIOLGA, CAGUAS, PR 00725
(787) 653-3434
(314) 222-0614
Mailing address
PO BOX 1465, SABANA SECA, PR 00952-1465
(787) 653-3434
(314) 222-0614
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
17784
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8757559
CIGNA
—
01
—
EM624A
MEDICARE PTAN
PR
Enumeration date
01/24/2011
Last updated
09/04/2012
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