| Omar Cruz | |
|
1018 Ave Ashford Suite 201 San Juan PR 00907-1100 | |
| (787) 705-1732 | |
| Not Available |
| Full Name | Omar Cruz |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1018 Ave Ashford, San Juan, Puerto Rico |
| Authorized Official Name and Position | Omar Cruz (DENTIST) |
| Authorized Official Contact | 7877051732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Cruz 1018 Ave Ashford Suite 201 San Juan PR 00907-1100 Ph: (787) 705-1732 | Omar Cruz 1018 Ave Ashford Suite 201 San Juan PR 00907-1100 Ph: (787) 705-1732 |
| NPI Number | 1891035390 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891035390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 016 (Puerto Rico) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 015 (Puerto Rico) | Primary |
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