Individual
JORGE LUIS MORENO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
H23 AVE PINO, CAGUAS, PR 00725-6146
(787) 466-8028
Mailing address
V 15 CALLE 22, VILLA NUEVA, CAGUAS, PR 00725
(787) 466-8028
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
945
PR
111NS0005X
Sports Physician Chiropractor
945
PR
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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