Individual provider · NPI-1

Ivette C Cruz Cabrera

Specialist/Technologist, Other, Illustration, Medical · Camuy, PR

NPI number1750638342

StatusActive

Last updated in NPPESDec 6, 2012

Details

NPI: 1750638342
Entity type: Individual (NPI-1)
Name: Ivette C Cruz Cabrera
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 14, 2012
Last updated: Dec 6, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
246ZI1000X	Specialist/Technologist, Other, Illustration, Medical	1668796	PR	Yes
246Z00000X	Specialist/Technologist, Other	1668796	PR
291U00000X	Clinical Medical Laboratory	–	–

Practice location

Carr 486 Km 1.9 Barrio Zanjas
Camuy, PR 00627

Phone 787-397-4174 · Fax 787-544-0600

Mailing address

Po Box 479
Camuy, PR 00627-0479

Phone 787-397-4174 · Fax 787-544-0600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.