Individual
COREY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 CALLE DEL MUELLE, SUIT 3703, SAN JUAN, PR 00901
(919) 744-7392
Mailing address
100 CALLE DEL MUELLE, SUIT 3703, SAN JUAN, PR 00901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002209
PR
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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