Provider Demographics
NPI:1710597653
Name:AGUILAR CRUZ, SAUL (MEDICAL INTERPRETER)
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:
Last Name:AGUILAR CRUZ
Suffix:
Gender:M
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22910 90TH AVE W UNIT B406
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-9421
Mailing Address - Country:US
Mailing Address - Phone:206-484-4188
Mailing Address - Fax:
Practice Address - Street 1:22910 90TH AVE W UNIT B406
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-9421
Practice Address - Country:US
Practice Address - Phone:206-484-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC10325171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty