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NPI Code Detail

MEDICARE: KATHERINE CABAN CRUZ

MEDICARE:   KATHERINE  CABAN CRUZ
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
11041C0700XClinical Social Worker14159

General Provider Information

NPI Number : 1528887478
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CABAN CRUZ
Provider Business Mailing Address
First Line : 132 CALLE JOSE I QUINTON
Second Line :
City : COAMO
State : PR
Zip : 00769-3041
Country : US
Telephone Number : 787-232-7860
Fax Number :
Provider Business Practice Location Address
First Line : 132 CALLE JOSE I QUINTON
Second Line :
City : COAMO
State : PR
Zip : 00769-3041
Country : US
Telephone Number : 787-232-7860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 10/08/2024

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Directions to “ KATHERINE CABAN CRUZ ” Practice Location

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