Individual
DR. ROSA MARIA CRUZ HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 CALLE COMERCIO, AGUADILLA, PR 00603-5027
(787) 819-1649
(787) 819-1649
Mailing address
PO BOX 907, AGUADILLA, PR 00605-0907
(787) 819-1649
(787) 819-1649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7653
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066747
CA PROVIDER NUMBER
PR
01
—
4467
IMC PROVIDER NUMBER
PR
01
—
81668
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
08/15/2005
Last updated
07/08/2007
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