Cruz, Rene Fulgencio

Cruz, Rene Fulgencio is an individual health care provider with primary practice located at 424 Lake Howell Rd , Maitland FL 32751-5907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cruz, Rene Fulgencio can be contacted via phone (407) 644-6401.

Contact Information

Primary practice address
424 Lake Howell Rd Maitland FL 32751-5907
Phone: (407) 644-6401
Fax: (407) 644-8611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0068986 Florida

Profile Details

NPI number 1578545729
LBN Legal business name Cruz, Rene Fulgencio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 7th, 2023 - about last year

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 1578545729 NPPES
Florida MEDICAID 256125500

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