Provider Demographics
NPI:1225630353
Name:CRUZ ALMAGUER, CECILIA DE LA CARIDAD (RN, MSN, ARNP, FNP)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:DE LA CARIDAD
Last Name:CRUZ ALMAGUER
Suffix:
Gender:F
Credentials:RN, MSN, ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 W DR MARTIN LUTHER KING JR BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6545
Mailing Address - Country:US
Mailing Address - Phone:813-488-4801
Mailing Address - Fax:813-405-4506
Practice Address - Street 1:2123 W DR MARTIN LUTHER KING JR BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6545
Practice Address - Country:US
Practice Address - Phone:813-488-4801
Practice Address - Fax:813-405-4506
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009717164W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164W00000XNursing Service ProvidersLicensed Practical Nurse