Provider Demographics
NPI:1174253793
Name:CRUZ, YASHIRA ZULEY (MD)
Entity Type:Individual
Prefix:DR
First Name:YASHIRA
Middle Name:ZULEY
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COM LAS FLORES
Mailing Address - Street 2:CALLE ROSA 20
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:939-498-5551
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 141.1 AVE SEVERIANO CUEVAS 18
Practice Address - Street 2:BO. CAIMITAL BAJO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program