Provider Demographics
NPI:1962419374
Name:CRUZ-ALICEA, CARMEN M (MD)
Entity type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:M
Last Name:CRUZ-ALICEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:DEGETAU 1114 URB AMERICA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923
Mailing Address - Country:US
Mailing Address - Phone:787-764-9563
Mailing Address - Fax:
Practice Address - Street 1:PARQUE INDUSTRIAL ESCORIAL
Practice Address - Street 2:STATE INSURANCE FUND CORPORATION
Practice Address - City:BO SAN ANTON CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-758-6850
Practice Address - Fax:787-776-2252
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR69282083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine