Ivan D Agosto Cruz, 006B
NPI #1063625838 in Guaynabo, Puerto Rico
Provider Information
- NPI Number
- 1063625838
- Entity Type
- Individual
- Name
- Ivan D Agosto Cruz, 006B
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- 006B
- Enumeration Date
- May 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 90 CALLE SAN MARTIN
- City
- Guaynabo
- State
- Puerto Rico
- ZIP Code
- 00968-1400
- Phone
- (787) 754-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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