Provider Demographics
NPI:1568941235
Name:ROSARIO CRUZ, VALERIA (MD)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:ROSARIO 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 1:39 MINEOLA BLVD APT LLB
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4257
Mailing Address - Country:US
Mailing Address - Phone:787-645-0005
Mailing Address - Fax:
Practice Address - Street 1:1623 WEIRFIELD ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5349
Practice Address - Country:US
Practice Address - Phone:718-456-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32205201208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics