Provider Demographics
NPI:1114266566
Name:CRUZ RAMOS, JESUS I (MSW)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:I
Last Name:CRUZ RAMOS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARRETERA 433 KM 0.5
Mailing Address - Street 2:BO MIRABALES
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1478
Mailing Address - Country:US
Mailing Address - Phone:787-362-6517
Mailing Address - Fax:787-551-7066
Practice Address - Street 1:CARRETERA 433 KM 0.5
Practice Address - Street 2:BARRIO MIRABALES
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-1478
Practice Address - Country:US
Practice Address - Phone:787-362-6517
Practice Address - Fax:787-551-7066
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR114641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical