Ivette C Cruz Cabrera

Individual provider Active NPI Medical Illustrator · Camuy, PR

NPI 1750638342 · NPPES record last updated Dec 6, 2012

Key facts

NPI
1750638342
Entity type
Individual (NPI type 1)
Primary specialty
Medical Illustrator 246ZI1000X
License
1668796 (PR)
Practice address
Carr 486 KM 1.9 Barrio Zanjas
Camuy, PR 00627
Phone
(787) 397-4174
Fax
(787) 544-0600
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1668796PRMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivette C Cruz Cabrera Clinical Medical Laboratory Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 1668796 PR
Medical Illustrator 246ZI1000X 1668796 PR Yes
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

Carr 486 KM 1.9 Barrio Zanjas
Camuy, PR 00627

Mailing address

PO Box 479
Camuy, PR 00627-0479
Phone (787) 397-4174

Other providers in Camuy, PR

All providers in Camuy, PR · Medical Illustrator in Puerto Rico

Sources for this page

Verify at the official NPI Registry.