Provider Demographics
NPI:1417601121
Name:CRUZ GARCIA, RASMIER JOSE
Entity Type:Individual
Prefix:
First Name:RASMIER
Middle Name:JOSE
Last Name:CRUZ GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 W WARM SPRINGS RD UNIT 322
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3590
Mailing Address - Country:US
Mailing Address - Phone:702-417-3984
Mailing Address - Fax:
Practice Address - Street 1:1575 W WARM SPRINGS RD UNIT 322
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3590
Practice Address - Country:US
Practice Address - Phone:702-417-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician