Provider Demographics
NPI:1922767383
Name:ALEMAN, CRUZ SAUL (RDN)
Entity Type:Individual
Prefix:
First Name:CRUZ
Middle Name:SAUL
Last Name:ALEMAN
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4415
Mailing Address - Country:US
Mailing Address - Phone:269-584-0006
Mailing Address - Fax:
Practice Address - Street 1:1316 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4415
Practice Address - Country:US
Practice Address - Phone:269-584-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered