Sevilla, Maria-Dorina Cruz

Sevilla, Maria-Dorina Cruz is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Sevilla, Maria-Dorina Cruz can be contacted via phone (336) 251-1114.

Contact Information

Primary practice address

4692 Brownsboro Rd Winston Salem NC 27106-3410

Phone: (336) 251-1114

Fax: (336) 251-1115

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Geriatric Medicine	207RG0300X	9300588	North Carolina

Profile Details

NPI number	1114991098
LBN Legal business name	Sevilla, Maria-Dorina Cruz
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 15th, 2006
Last updated	Feb 8th, 2011 - about 13 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

State	Type	Number	Issuer
All States	NPI	1114991098	NPPES
North Carolina	MEDICAID	8975331

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