Cruz, Jose A

Cruz, Jose A is an sole proprietor health care provider with primary practice located at 4302 Alton Rd Suite 660, Miami Beach FL 33140-2891. He recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Cruz, Jose A can be contacted via phone (305) 674-2876.

Contact Information

Primary practice address
4302 Alton Rd Suite 660 Miami Beach FL 33140-2891
Phone: (305) 674-2876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X ME90082 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME90082 Florida

Profile Details

NPI number 1093705790
LBN Legal business name Cruz, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Oct 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093705790 NPPES
Florida MEDICAID 270039500

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