Provider Demographics
NPI:1760074439
Name:ALMENDAREZ, LUZ MARINA
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:MARINA
Last Name:ALMENDAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 FULTON PKWY APT 125
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44144-1964
Mailing Address - Country:US
Mailing Address - Phone:216-218-7851
Mailing Address - Fax:
Practice Address - Street 1:4211 FULTON PKWY APT 125
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44144-1964
Practice Address - Country:US
Practice Address - Phone:216-218-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602278041220374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide