Provider Demographics
NPI:1851952014
Name:CRUZ-DE LA CRUZ, ANGEL DAMIAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:DAMIAN
Last Name:CRUZ-DE LA CRUZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 AVE ASHFORD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1137
Mailing Address - Country:US
Mailing Address - Phone:787-998-7778
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL SCIENCES CAMPUS, DR. GUILLERMO ARBONA BUILDING
Practice Address - Street 2:SAN JUAN MEDICAL CENTER, BARRIO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33831223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics