Provider Demographics
NPI:1770888273
Name:CARUSO, ROBERT GERARD (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GERARD
Last Name:CARUSO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:G
Other - Last Name:CARUSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2345 FLETCHER PKWY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2134
Mailing Address - Country:US
Mailing Address - Phone:619-808-4550
Mailing Address - Fax:619-329-4390
Practice Address - Street 1:2345 FLETCHER PKWY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2134
Practice Address - Country:US
Practice Address - Phone:619-808-4550
Practice Address - Fax:619-329-4390
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2025-09-08
Deactivation Date:2022-12-07
Deactivation Code:
Reactivation Date:2023-03-30
Provider Licenses
StateLicense IDTaxonomies
CADC-29507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor