Provider Demographics
NPI:1841400496
Name:CRUZ, NILDA MILAGROS (NURSE)
Entity Type:Individual
Prefix:MISS
First Name:NILDA
Middle Name:MILAGROS
Last Name:CRUZ
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CALLE LOS CRUZ
Mailing Address - Street 2:BARRIO RIO HONDO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-7107
Mailing Address - Country:US
Mailing Address - Phone:787-833-0155
Mailing Address - Fax:787-833-1371
Practice Address - Street 1:410 AVE HOSTOS SUITE 7
Practice Address - Street 2:CENTRO SALUD MENTAL DE MAYAGUEZ
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1522
Practice Address - Country:US
Practice Address - Phone:787-832-6771
Practice Address - Fax:787-833-1371
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9937163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult