Provider Demographics
NPI:1821622325
Name:SAENZ, JORGE CRUZ (LMT, CMMP, FR, FRC)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:CRUZ
Last Name:SAENZ
Suffix:
Gender:M
Credentials:LMT, CMMP, FR, FRC
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:CRUZ
Other - Last Name:SAENZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOBILITY SPECIALIST
Mailing Address - Street 1:2018 DALLAS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7159
Mailing Address - Country:US
Mailing Address - Phone:956-651-4930
Mailing Address - Fax:
Practice Address - Street 1:2018 DALLAS AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7159
Practice Address - Country:US
Practice Address - Phone:956-651-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122821225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX842445339OtherMASSAGE & MOBILITY SPECIALIST