Provider Demographics
NPI:1861669483
Name:SANCHEZ CRUZ, ALEXIS (OT/L)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SANCHEZ CRUZ
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. COLINAS DEL PLATA
Mailing Address - Street 2:#42 CALLE PASEOS
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-630-1219
Mailing Address - Fax:
Practice Address - Street 1:URB. COLINAS DEL PLATA
Practice Address - Street 2:#42 CALLE PASEOS
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-630-1219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1096225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist