Provider Demographics
NPI:1467737445
Name:CRUZ HEALTHCARE CORP
Entity Type:Organization
Organization Name:CRUZ HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-221-9981
Mailing Address - Street 1:10300 SUNSET DRIVE
Mailing Address - Street 2:SUITE 444
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-221-9981
Mailing Address - Fax:305-221-9946
Practice Address - Street 1:10300 SUNSET DRIVE
Practice Address - Street 2:SUITE 444
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-221-9981
Practice Address - Fax:305-221-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
103171Medicare Oscar/Certification