Individual
JOSE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE CERRA #900 FINAL PARADA15, SAN JUAN, PR 00907
(787) 722-4600
Mailing address
RR 11 BOX 3608, BAYAMON, PR 00956-9620
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2336
PR
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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