Individual
JORGE E CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 18TH ST SE APT 302, WASHINGTON, DC 20020-4241
(240) 615-0735
Mailing address
2125 18TH ST SE APT 302, WASHINGTON, DC 20020-4241
(240) 615-0735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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