Individual
LUIS MANUEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
317 NW 109TH AVE, APT 8, MIAMI, FL 33172-5246
(786) 350-6359
Mailing address
317 NW 109TH AVE, APT 8, MIAMI, FL 33172-5246
(786) 350-6359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA 23244
FL
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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