Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1128 | PR |
N | 225XF0002X | Feeding, Eating & Swallowing | 1128 | PR |
N | 225XG0600X | Occupational Therapist - Gerontology | 1128 | PR |
N | 225XM0800X | Mental Health | 1128 | PR |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1128 | PR |
NPI | 1871844159 |
---|---|
Provider Name | Nilmari Cruz |
First Address | San Juan, PR 00926-9111 |
Second Address | San Juan, PR 00926-7333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2012 |
Last Update Date | 26/09/2012 |