Individual provider · Type 1 NPI
Javier Cesar Leal-Cruz
Student in an Organized Health Care Education/Training Program · Broadway, VA
NPI number
1134089782
Active
Practice location
12229 Jobel Ln
Broadway, VA 22815-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1134089782
Javier Cesar Leal-Cruz's National Provider Identifier is 1134089782, issued on Nov 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Broadway, VA. The record was last updated on Nov 17, 2025.