Valdescruz, Raul Carlos

Valdescruz, Raul Carlos is an individual health care provider with primary practice located at 12953 Palms West Dr Bldg 6 Suite 101, Loxahatchee FL 33470-4990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Valdescruz, Raul Carlos can be contacted via phone (561) 795-2400.

Contact Information

Primary practice address
12953 Palms West Dr Bldg 6 Suite 101 Loxahatchee FL 33470-4990
Phone: (561) 795-2400
Fax: (561) 795-6813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME50920 Florida

Profile Details

NPI number 1437174018
LBN Legal business name Valdescruz, Raul Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 25th, 2013 - about 11 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 1437174018 NPPES
Florida MEDICAID 036445200

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