Individual
LUIS HERION-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 SIPAPU ST, TAOS, NM 87571-6498
(575) 758-8761
Mailing address
414 SIPAPU ST, TAOS, NM 87571-6498
(575) 758-8761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2025-0159
NM
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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