Individual ProviderJose L CruzPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1 Wolcott Ave, Staten Island, NY 10312-3105(718) 967-4325PECOS EnrollmentBased on the most recent information from CMS, provider Jose L Cruz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1457498461Provider TypeIndividualFull NameCruz, Jose LTitleMr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date1/31/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1 Wolcott Ave, Staten Island, NY 10312-3105Phone(718) 967-4325FaxUnlisted FaxMailing LocationMailing Address1 Wolcott Ave, Staten Island, NY 10312-3105Phone(718) 967-4325FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense025305-1New York