Provider Demographics
NPI:1487767620
Name:CRUZ, ROLANDO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:JAVIER
Last Name:CRUZ
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 1:21 PASEO LAS PALMAS
Mailing Address - Street 2:CALLE PRIMAVERA
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-484-3600
Mailing Address - Fax:
Practice Address - Street 1:TORRE MEDICA AUXILIO MUTUO
Practice Address - Street 2:SUITE 717 AVE. PONCE DE LEON # 735
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-201-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15278207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine