Individual provider · NPI-1
Luis Cruz, OTR/L
Occupational Therapist · Miami, FL
NPI number1871852020
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1871852020
- Entity type
- Individual (NPI-1)
- Name
- Luis Cruz
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2012
- Certification date
- Jan 9, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT21471 | FL | Yes |
| 174400000X | Specialist | – | – | |
| 225C00000X | Rehabilitation Counselor | – | – |
Practice location
10330 Sw 50th TerMiami, FL 33165-6252
Phone 305-773-7328
Mailing address
3551 Sw 139th CtMiami, FL 33175-6757
Phone 305-773-7328
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