Individual provider · Type 1 NPI

Angel Gabriel G. de la Cruz

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1073441366 Active

Practice location

600 Mount Pleasant Ave
Providence, RI 02908-1940

Call (401) 456-8000 Map

Mailing address

6 Lockbridge St
Pawtucket, RI 02860-1612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073441366

Angel Gabriel G. de la Cruz's National Provider Identifier is 1073441366, issued on May 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on May 8, 2026.