Cruz-Gervis, Roberto Antonio

Cruz-Gervis, Roberto Antonio is an individual health care provider with primary practice located at 125 Parker Hill Ave Ste 502 , Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Cruz-Gervis, Roberto Antonio can be contacted via phone (617) 754-6199.

Contact Information

Primary practice address
125 Parker Hill Ave Ste 502 Roxbury Crossing MA 02120-2847
Phone: (617) 754-6199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 220900 Massachusetts

Profile Details

NPI number 1649259060
LBN Legal business name Cruz-Gervis, Roberto Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 13th, 2021 - about 3 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 1649259060 NPPES
Massachusetts MEDICAID 2078198

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