Provider Demographics
NPI:1063577575
Name:FERNANDEZ-CRUZ, PAZ ACUNA (MD)
Entity type:Individual
Prefix:MRS
First Name:PAZ
Middle Name:ACUNA
Last Name:FERNANDEZ-CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 ARTHUR GODFREY SUITE 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-535-3550
Mailing Address - Fax:786-221-4435
Practice Address - Street 1:777 ARTHUR GODFREY
Practice Address - Street 2:777 ARTHUR GODFREY SUITE 301
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-535-3550
Practice Address - Fax:786-221-4435
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92162207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00314872BMedicaid
TN00314872BMedicaid
C36460Medicare UPIN