Provider Demographics
NPI:1801198718
Name:CRUZ-TORRES, DELGIA (LIC)
Entity Type:Individual
Prefix:
First Name:DELGIA
Middle Name:
Last Name:CRUZ-TORRES
Suffix:
Gender:F
Credentials:LIC
Other - Prefix:
Other - First Name:DELGIA
Other - Middle Name:
Other - Last Name:CRUZ-TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDA
Mailing Address - Street 1:92 CALLE COMERCIO
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-1632
Mailing Address - Country:US
Mailing Address - Phone:787-598-4528
Mailing Address - Fax:787-837-8668
Practice Address - Street 1:AIDA DE PR AVE TITO CASTRO
Practice Address - Street 2:PMB 229
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0020
Practice Address - Country:US
Practice Address - Phone:787-259-3331
Practice Address - Fax:787-259-3331
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional