Johanna De La Cruz
Dental Assistant
130 Ave Arterial Hostos Cond Hato Rey Centro Edf O Apt 301
San Juan
, Puerto Rico 00918-5200
Johanna De La Cruz
Dental Assistant
130 Ave Arterial Hostos Cond Hato Rey Centro Edf O Apt 301
San Juan
, Puerto Rico 00918-5200
(787) 342-9334
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Johanna De La Cruz
- 130 Arterial Hostos Cond Hato Rey Centro Edf O Apt 301
- San Juan, PR
- Zip : 00918
- Phone : (787) 342-9334
Second Address
- Johanna De La Cruz
- 130 Ave Arterial Hostos Cond Hato Rey Centro Edf O Apt 301
- San Juan, PR
- Zip : 00918-5200
- Phone : (787) 342-9334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 5257 | PR |
National Provider Identifier
| NPI | 1275888133 |
|---|---|
| Provider Name | Johanna De La Cruz |
| First Address | San Juan, PR 00918 |
| Second Address | San Juan, PR 00918-5200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2012 |
| Last Update Date | 17/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.