Individual
SAMUEL CRUZ SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8169 CONCORDIA STREET, SUITE 412, PONCE, PR 00717-1567
(787) 260-9446
(787) 260-2943
Mailing address
PO BOX 43, JUANA DIAZ, PR 00795
(787) 260-9446
(787) 260-2943
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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