Individual
WANDA CRUZADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE MINILLAS DC 8, URB. SANTA JUANITA, BAYAMON, PR 00956
(787) 643-0930
Mailing address
PO BOX 6984, SANTA ROSA UNIT, BAYAMON, PR 00960-5984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2280
PR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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