Provider Demographics
NPI:1073978961
Name:ACUNA CRUZ, EVA NILDA (SW)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:NILDA
Last Name:ACUNA CRUZ
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 AVE SAN LUIS
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3666
Mailing Address - Country:US
Mailing Address - Phone:787-817-1245
Mailing Address - Fax:
Practice Address - Street 1:621 AVE SAN LUIS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3666
Practice Address - Country:US
Practice Address - Phone:787-817-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRII3017104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker