Individual
OMAR ALBERTO DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
C-9 H-11 VILLA ALEGRE, GURABO, PR 00778
(939) 415-2042
Mailing address
C-5 #118 URB. O'REILLY, GURABO, PR 00778
(939) 415-2042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24143
PR
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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