Provider Demographics
NPI:1275343113
Name:BORJA, RAYMOND DELA CRUZ JR
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:DELA CRUZ
Last Name:BORJA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9802 W VAN BUREN ST UNIT 49
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-2849
Mailing Address - Country:US
Mailing Address - Phone:480-937-8305
Mailing Address - Fax:
Practice Address - Street 1:9802 W VAN BUREN ST UNIT 49
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-2849
Practice Address - Country:US
Practice Address - Phone:480-937-8305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver