Individual
DR. HUMBERTO ALEXIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
67 PRESIDENT ST # 861, CHARLESTON, SC 29425-5712
(843) 792-0686
Mailing address
PO BOX 192650, SAN JUAN, PR 00919-2650
(787) 477-1290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6198
PR
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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