Casariego Cruz, Isabel Teresa

Casariego Cruz, Isabel Teresa is an individual health care provider with primary practice located at 1651 Se Tiffany Ave , Port St Lucie FL 34952-7564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Casariego Cruz, Isabel Teresa can be contacted via phone (772) 398-1800.

Contact Information

Primary practice address
1651 Se Tiffany Ave Port St Lucie FL 34952-7564
Phone: (772) 398-1800
Fax: (772) 398-1828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME93466 Florida

Profile Details

NPI number 1073510939
LBN Legal business name Casariego Cruz, Isabel Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jan 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073510939 NPPES
Florida MEDICAID 273198300

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