Provider Demographics
NPI:1023212834
Name:CRUZ VERA, FELIX (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:CRUZ VERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1462
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-1462
Mailing Address - Country:US
Mailing Address - Phone:787-659-4775
Mailing Address - Fax:787-252-0914
Practice Address - Street 1:CARR.#115,KM.20.0
Practice Address - Street 2:BARRIO GUAYABO
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-659-4775
Practice Address - Fax:787-252-0914
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16723174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist