MEDICARE: DR. DILAN CRUZ DORRIOS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15091	FL

General Provider Information

NPI Number	:	1275371957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DILAN CRUZ DORRIOS DC

Provider Business Mailing Address
First Line	:	14470 SKIPPING STONE LOOP
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-1439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14470 SKIPPING STONE LOOP
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-1439
Country	:	US
Telephone Number	:	787-245-3659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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