Individual ProviderStephanie Marie CruzStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1901 First Avenue, New York, NY 10029(212) 423-6058(305) 528-9944PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Marie Cruz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164783031Provider TypeIndividualFull NameCruz, Stephanie MarieTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/6/2012Last Updated6/6/2012Contact InformationPractice LocationPractice Address1901 First Avenue, New York, NY 10029Phone(212) 423-6058FaxUnlisted FaxMailing LocationMailing Address16852 SW 148 Ave, Miami, FL 33187Phone(305) 528-9944FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer