Carlos Ivan Cruz in Mayaguez - Periodontics

Carlos Ivan Cruz - NPI 1871648915

Carlos Ivan Cruz is a Periodontics in Mayaguez, Puerto Rico. Carlos Ivan Cruz practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Carlos Ivan Cruz is 1871648915. The last update date is 2007-07-08.

Carlos Ivan Cruz's current location address is 351 Hostos Ave, Mayaguez, Puerto Rico. You can contact this provider via phone number 7878062442 and fax number 7878062444. The mailing address for Carlos Ivan Cruz is 351 Hostos Ave, Mayaguez, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name Carlos Ivan Cruz
Address 351 Hostos Ave, Mayaguez, Puerto Rico
Phone Number 7878062442
Fax Number 7878062444
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1871648915
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 351 Hostos Ave
City Mayaguez
State Puerto Rico (PR)
Post Code 680
Phone Number 7878062442
Fax Number 7878062444

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No D2442
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Carlos Ivan Cruz

What is the unique 10-digit identifier code assigned to Carlos Ivan Cruz by the Centers for Medicare & Medicaid Services?

The Carlos Ivan Cruz has been issued the NPI (National Provider Identifier) 1871648915 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Carlos Ivan Cruz?

The Carlos Ivan Cruz is physically situated at 351 Hostos Ave, in the city of Mayaguez, state of PR, with the postal code 680.

What is Carlos Ivan Cruz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carlos Ivan Cruz's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

When did Carlos Ivan Cruz receive its 1871648915 assignment?

The Carlos Ivan Cruz was assigned its 1871648915 on 2007-01-25, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Carlos Ivan Cruz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carlos Ivan Cruz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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