| NPI | 1487644407 |
|---|---|
| Professional Name | ILEANA ALBINO CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 9955) |
| Additional Taxonomies | 171W00000X Contractor (Licence: PR 9955) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2016-09-01 |