Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 217 | PR |
NPI | 1013181783 |
---|---|
Provider Name | Dr. Diana I. Cruz Aleman |
First Address | Trujillo Alto, PR 00976-4050 |
Second Address | Trujillo Alto, PR 00976-4050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 09/09/2016 |