Provider Demographics
NPI:1932964665
Name:FRANCO CRUZ, KIANNA PAOLA
Entity Type:Individual
Prefix:
First Name:KIANNA
Middle Name:PAOLA
Last Name:FRANCO CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACIENDA SAN JOSE, CAUTIVA 120
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-436-4178
Mailing Address - Fax:
Practice Address - Street 1:HACIENDA SAN JOSE, CAUTIVA 120
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-0072
Practice Address - Country:US
Practice Address - Phone:787-436-4178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program