Provider Demographics
NPI:1740212430
Name:CRUZ, NATALIA N (ARNP)
Entity Type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:N
Last Name:CRUZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3001 N ROCKY POINT DR E
Mailing Address - Street 2:SUITE 185
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5810
Mailing Address - Country:US
Mailing Address - Phone:813-289-9613
Mailing Address - Fax:181-347-0786
Practice Address - Street 1:9210 FLORIDA PALM DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4352
Practice Address - Country:US
Practice Address - Phone:813-246-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP765582363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CRUZ4125Medicare UPIN