Provider Demographics
NPI:1427947621
Name:CRUZ RODRIGUEZ, ANA SOFIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:SOFIA
Last Name:CRUZ RODRIGUEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140697
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0697
Mailing Address - Country:US
Mailing Address - Phone:787-408-5296
Mailing Address - Fax:
Practice Address - Street 1:SABANA HOYOS BRISAS DE MANANTIALES
Practice Address - Street 2:CAR 2 R639 KM 1.5
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-408-5296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8379103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical