Most Relevant Information
Provider Data
| NPI Number: | 1003536913 |
| Provider Name: | JUAN LUIS CRUZ COLON MA, RDN, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | L006795 |
Most Important Dates
| Enumeration Date: | 08/31/2022 |
| Last Updated: | 08/31/2022 |
Provider Practice Location
4024 STIRRUP CREEK DR
DURHAM
NC
277039464
Practice Location Phone/Fax
| Phone: | 9197670222 |
| Fax: |
Provider Mailing Location
PO BOX 13289
DURHAM
NC
277093289
Provider Mailing Phone/Fax
| Phone: | 9199080238 |
| Fax: |