Provider Demographics
NPI:1922641729
Name:CRUZ SOTO, EMILY DEL SOCORRO
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DEL SOCORRO
Last Name:CRUZ SOTO
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 1:560 N ST SW APT N616
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4623
Mailing Address - Country:US
Mailing Address - Phone:202-765-9488
Mailing Address - Fax:202-525-4455
Practice Address - Street 1:560 N ST SW APT N616
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4623
Practice Address - Country:US
Practice Address - Phone:202-765-9488
Practice Address - Fax:202-525-4455
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide