Search › Kentucky › 163WR0006X
Mario Perdomo Santa Cruz, RNFA
NPI 1427776095 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4300 Buxton Dr
Louisville, KY 40218 - Phone
- (786) 675-1616
Registry record
- Primary taxonomy
- 163WR0006X
163WR0006X
- Also registered as
- 246ZC0007X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky