Provider Demographics
NPI:1053139303
Name:NCD ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:NCD ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRUZ DARDIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-646-6041
Mailing Address - Street 1:PO BOX 361513
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-1513
Mailing Address - Country:US
Mailing Address - Phone:787-646-6041
Mailing Address - Fax:
Practice Address - Street 1:TORRE MEDICA SUITE 215
Practice Address - Street 2:CARR 21 NUM 1785 AVE LAS LOMAS #21
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922-0000
Practice Address - Country:US
Practice Address - Phone:787-639-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty