1. Home
  2. Directory
  3. Virginia
  4. Blackstone
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MICHAELA NICOLE CRUZ SAN JUAN MD
NPI 1790537660
Student in an Organized Health Care Education/Training Program in Blackstone, VA

Active since April 03, 2024
213 N MAIN ST, BLACKSTONE, VA 23824(434) 292-7261 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michaela Nicole Cruz San Juan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA NICOLE CRUZ SAN JUAN MD (NPI 1790537660) is an individual student in an organized health care education/training program in Blackstone, Virginia and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1790537660
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHAELA NICOLE CRUZ SAN JUANCredential: MD
Location Address213 N MAIN STBlackstone, VA 23824-1425
Mailing Address13540 Hull Street RdMidlothian, VA 23112-2107 · (804) 739-6142
Phone(434) 292-7261
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1790537660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
213 N MAIN ST, Blackstone, VA 23824
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Family Medicine
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
CHRISTOPHER JACOB CICCONE JR. DO
Student in an Organized Health Care Education/Training Program
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
MADALYN ROSE LEE MD
Student in an Organized Health Care Education/Training Program
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
BON SECOURS-VIRGINIA HEALTHSOURCE
Family Medicine
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 298-0201
CHRISTY T JOHNSON-OLIVER NP
Nurse Practitioner (Primary Care)
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
DR. DENNIS D SWAN M.D.
Family Medicine
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261
DR. EMMA RUDEBUSCH MD
Family Medicine
213 N MAIN ST
BLACKSTONE, VA 23824
Nottoway County (434) 292-7261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michaela Nicole San Juan's NPI number?

The NPI number for Michaela Nicole San Juan is 1790537660. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Michaela Nicole San Juan located?

Michaela Nicole San Juan practices at 213 N Main St, Blackstone, VA 23824. The listed phone number is (434) 292-7261.

What is Michaela Nicole San Juan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michaela Nicole San Juan was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.