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Contact Information

PABLO A RIVERA CRUZ, SA-C
2543 S EL DORADO ST SPC 71
STOCKTON, CA95206-3280
 Phone: 209-688-9843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for PABLO A RIVERA CRUZ · (Male)

NPI Number 1942877303
Status Active
Credentials SA-C
Entity Individual
Enumeration date 06/04/2021
Last updated 06/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 19-309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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