Doctor Name: | MR. JOSE R RODRIGUEZ CRUZ |
NPI Number: | 1134150311 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 5113 |
Business Practice Address: | 55 Calle Del Carmen W Fajardo, PR - 007384717 |
Business Phone Number: | 7878603558 |
Business Fax Number: | 7878603330 |
Mailing Address: | 55 Calle Del Carmen W, FAJARDO |
State: | PR |
Postal Code: | 007384717 |
Phone Number: | 7878603558 |
Fax Number: | 7878603330 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |