Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Edgardo Gonzalez Cruz, IDHS

Individual provider Independent Duty Medical Technicians · NPI 1588471106

Jose Edgardo Gonzalez Cruz, IDHS is an Independent Duty Medical Technicians in Summerville, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

5019 Green Bluff Ct
Summerville, SC 29485-9327
Phone: (787) 478-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X
Independent Duty Medical Technicians Taxonomy 1710I1003X

Record details

NPI number1588471106
Entity typeIndividual (Type 1)
GenderMale
Credentials IDHS
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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