Doctor Name: | DR. JUAN HOLGUIN DE LA CRUZ |
NPI Number: | 1750569042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16995 |
Business Practice Address: | Urb Vista Del Mar 1 B8 Guayama, PR - 00784 |
Business Phone Number: | 7878646378 |
Business Fax Number: | |
Mailing Address: | Urb Vista Del Mar, 1 B8 GUAYAMA |
State: | PR |
Postal Code: | 00784 |
Phone Number: | 7878646378 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |