Provider Demographics
NPI:1245602580
Name:CRUZ-MARCHAND, HIAM (MSW)
Entity Type:Individual
Prefix:
First Name:HIAM
Middle Name:
Last Name:CRUZ-MARCHAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G12 CALLE GLACIER
Mailing Address - Street 2:URB PARK GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:G12 CALLE GLACIER
Practice Address - Street 2:URB PARK GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2113
Practice Address - Country:US
Practice Address - Phone:787-946-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical