Provider Demographics
NPI:1790495505
Name:BARJAU CRUZ, ALICIA (MSW, DSWC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BARJAU CRUZ
Suffix:
Gender:F
Credentials:MSW, DSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 4 BOX 26932
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-8707
Mailing Address - Country:US
Mailing Address - Phone:787-948-0262
Mailing Address - Fax:
Practice Address - Street 1:CARR. 827 KM 7.8
Practice Address - Street 2:BO. ORTIZ
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-948-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR144101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical