Individual
JOHANSEN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
CALLE LUIS MUNOZ RIVERA 23, URBANIZACION MENDEZ HORMAZABAL, JUNCOS, PR 00777
(787) 989-4222
Mailing address
500 GRAND BOULEVARD LOS PRADOS, APARTADO 25101, CAGUAS, PR 00727
(787) 989-4222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
816
PR
Other
Enumeration date
03/16/2022
Last updated
07/15/2022
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