NPI 1588471106

Jose Edgardo Gonzalez Cruz, IDHS

Practitioner Independent Duty Corpsman Summerville, SC

Practice location

Address: 5019 Green Bluff CT, Summerville, SC 29485-9327
Phone: (787) 478-1112

Registered specialties (2)

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in South Carolina →

Independent Duty Medical Technicians

Other Service Providers Taxonomy 1710I1003X

Registry record

NPI: 1588471106
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2024
Record last updated: 17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.