Individual
JESAMIL CRUZ MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
D36 CALLE 2, CANOVANAS, PR 00729-4220
(787) 550-4282
Mailing address
CALLE 2 D36, VILLAS DE LOIZA, CANOVANAS, PR 00729
(787) 550-4282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124252
PR
Other
Enumeration date
11/26/2019
Last updated
10/27/2020
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