MEDICARE: JORGE CRUZ SAENZ LMT, CMMP, FR, FRC

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	225700000X	Massage Therapist	122821	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	842445339	OTHER	TX	MASSAGE & MOBILITY SPECIALIST

General Provider Information

NPI Number	:	1821622325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE CRUZ SAENZ LMT, CMMP, FR, FRC

Provider Business Mailing Address
First Line	:	2018 DALLAS AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-7159
Country	:	US
Telephone Number	:	956-651-4930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 DALLAS AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-7159
Country	:	US
Telephone Number	:	956-651-4930
Fax Number	:

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

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	02/24/2020

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