Provider Demographics
NPI:1033559661
Name:CRUZ-SALGADO, JOSE A (MSPT)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:A
Last Name:CRUZ-SALGADO
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6018
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6018
Mailing Address - Country:US
Mailing Address - Phone:787-830-4090
Mailing Address - Fax:787-834-5274
Practice Address - Street 1:59 CALLE MARTINEZ NADAL
Practice Address - Street 2:OFICINA 104
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-4090
Practice Address - Fax:787-834-5274
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist