Provider Demographics
NPI:1144507641
Name:CRUZ, XAYMARA AURORA (ND)
Entity type:Individual
Prefix:DR
First Name:XAYMARA
Middle Name:AURORA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 AVE JESUS T PINERO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-5602
Mailing Address - Country:US
Mailing Address - Phone:939-270-6878
Mailing Address - Fax:787-277-5962
Practice Address - Street 1:1051 AVE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-5602
Practice Address - Country:US
Practice Address - Phone:939-270-6878
Practice Address - Fax:787-277-5962
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath