The practice of Indigenous Espiritismo would eventually begin to form in the lower classes of Puerto Rico. Unlike White Table Espiritismo this practice incorporates Taino healing methods. A medicine man known as a "bohique" can pray to spirits, and use tobacco, massages, and magic to cure ills. The folk medicines of Spaniards and African peoples are also incorporated. Espiritismo branches emerged on the island. Such branches include: Creolized Spiritism, Espiritismo Cruzado, and Espiritismo Kardeciano, which holds the strict philosophy of Kardecian teachings. Later on, in the early 1900s, people began to immigrate to the island from Haiti, Cuba, and the Dominican Republic. Now Puerto Rico already had many forms of Espiritismo. However, when practitioners of Cuban Santeria, Haitian Voudou, or Dominican 21 Divisiones saw similar traits in these practices, they began to mix along with the Espiritismo Criollo and Mesa Blanca to Form Sanse, a form of Espiritismo highly influenced by Haitian, Dominican, and Taino spiritual traditions, like Vudù. And Santerismo which was highly influenced from both Cuban Santeria, Espiritismo Cruzado (Cruzao), and Palo Mayombe religions.