IndividualActive
Ivelisse Cruz Del Rosario
NPI 1174338693 · Physician Assistant · Toa Baja, PR
Provider details
- NPI number
- 1174338693
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1448 (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Carr 2 Ave Don Pelayo
Urb Haciendas Del Norte
Toa Baja, PR 00949
Phone: (787) 870-4559
Fax: (787) 963-1565
Mailing address
Carr 2 Ave Don Pelayo
Toa Baja, PR 00949
Additional practice locations (1)
- Carr 2 Ave Don PelayoUrb Haciendas Del NorteToa Baja, PR 00949Phone: (787) 963-0772Fax: (787) 963-1565
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.