Sevilla, Maria-Dorina Cruz

Sevilla, Maria-Dorina Cruz is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Sevilla, Maria-Dorina Cruz can be contacted via phone (336) 251-1114.

Contact Information

Primary practice address
4692 Brownsboro Rd Winston Salem NC 27106-3410
Phone: (336) 251-1114
Fax: (336) 251-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 9300588 North Carolina

Profile Details

NPI number 1114991098
LBN Legal business name Sevilla, Maria-Dorina Cruz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 8th, 2011 - about 15 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 1114991098 NPPES
North Carolina MEDICAID 8975331

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