Dr. John Randall Santa Cruz Jr., M.D.
Radiology, Diagnostic Radiology in Boston, MA. Individual provider (NPI-1).
NPI number1164087979
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1164087979
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Randall Santa Cruz Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2019
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 1022651 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
75 Francis StBoston, MA 02115-6106
Phone 228-216-9661
Mailing address
75 Francis StBoston, MA 02115-6106
Other practice locations
1 Baylor Plz
Houston, TX 77030-3411
Houston, TX 77030-3411
Phone 228-216-9661
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