Cruz Ithier, Mayra Alejandra

Cruz Ithier, Mayra Alejandra is an individual health care provider with primary practice located at 625 6Th Ave S Ste 340 , St Petersburg FL 33701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Cruz Ithier, Mayra Alejandra can be contacted via phone (727) 767-7903.

Contact Information

Primary practice address
625 6Th Ave S Ste 340 St Petersburg FL 33701
Phone: (727) 767-7903
Fax: (727) 767-7905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME122845 Florida

Profile Details

NPI number 1619263027
LBN Legal business name Cruz Ithier, Mayra Alejandra
Credentials M.S, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Aug 17th, 2018 - about 6 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 1619263027 NPPES
Florida MEDICAID 024967800

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