| Cruzcare1 | |
|
336 Princess Ave Apt Home Cranston RI 02920-6915 | |
| (401) 569-4691 | |
| Not Available |
| Full Name | Cruzcare1 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 336 Princess Ave Apt Home, Cranston, Rhode Island |
| Authorized Official Name and Position | Jamie Lee Delacruz (NURSE PRACTITIONER) |
| Authorized Official Contact | 4015694691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cruzcare1 336 Princess Ave Apt Home Cranston RI 02920-6915 Ph: (401) 569-4691 | Cruzcare1 336 Princess Ave Apt Home Cranston RI 02920-6915 Ph: (401) 569-4691 |
| NPI Number | 1114734902 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114734902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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