| Luis R. Cruz, M.d., P.c. | |
|
1552 Chapel St New Haven CT 06511-4251 | |
| (203) 624-2117 | |
| Not Available |
| Full Name | Luis R. Cruz, M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1552 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Luis R Cruz (PRESIDENT) |
| Authorized Official Contact | 2036242117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis R. Cruz, M.d., P.c. 1552 Chapel St New Haven CT 06511-4251 Ph: (203) 624-2117 | Luis R. Cruz, M.d., P.c. 1552 Chapel St New Haven CT 06511-4251 Ph: (203) 624-2117 |
| NPI Number | 1043522360 |
|---|---|
| Provider Enumeration Date | 07/02/2010 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043522360 | NPI | - | NPPES |
| 001166602 | Medicaid | CT | |
| 010016660CT01 | Other | CT | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 016660 (Connecticut) | Primary |
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