Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 8 | PR |
NPI | 1144507641 |
---|---|
Provider Name | Dr. Xaymara Aurora Cruz |
First Address | San Juan, PR 00920-5602 |
Second Address | San Juan, PR 00920-5602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2011 |
Last Update Date | 10/11/2011 |