Provider Demographics
NPI:1922567130
Name:CRUZ, ZULEIKA M
Entity Type:Individual
Prefix:
First Name:ZULEIKA
Middle Name:M
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 1:70 AVE. ALAMANDA
Mailing Address - Street 2:ALAMANDA APT. 1033
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-210-2445
Mailing Address - Fax:
Practice Address - Street 1:3071 CENTRO COMERCIAL PLAZA ALEJANDRINO
Practice Address - Street 2:OFIC #111
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-0097
Practice Address - Country:US
Practice Address - Phone:787-210-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5911103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist