Individual
JUAN M CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1156 CALLE 62 SE, SAN JUAN, PR 00921-2724
(787) 758-2525
Mailing address
PO BOX 100, SABANA SECA, PR 00952-0100
(787) 404-0206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6072
PR
390200000X
Student in an Organized Health Care Education/Training Program
6188920
PR
Other
Enumeration date
02/14/2018
Last updated
04/17/2020
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