Individual
JOSE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
(575) 525-5641
Mailing address
301 PERKINS DR, STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007215
IL
225200000X
Physical Therapy Assistant
Primary
PTA1628
NM
Other
Enumeration date
11/16/2016
Last updated
04/03/2026
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