Provider Demographics
NPI:1891067229
Name:CRUZ, LUPE
Entity Type:Individual
Prefix:
First Name:LUPE
Middle Name:
Last Name:CRUZ
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 1:957 BLANCO CIR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4447
Mailing Address - Country:US
Mailing Address - Phone:831-784-2150
Mailing Address - Fax:
Practice Address - Street 1:MONTEREY COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:1270 NATIVIDAD RD,
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906
Practice Address - Country:US
Practice Address - Phone:831-784-2150
Practice Address - Fax:831-758-6640
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor