Individual
MR. JUAN ENRIQUE DE LA CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
G19 CALLE NUBE, PONCE, PR 00716-2552
(787) 432-8709
Mailing address
CALLE NUBE #G-19, PONCE, U.S.A 00731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163W00000X
PR
Other
Enumeration date
12/15/2011
Last updated
12/29/2011
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