Provider Demographics
NPI:1972207959
Name:ZALDIVAR, CRISTINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:
Last Name:ZALDIVAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:QUILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8403 CUTHBERT RD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8403 CUTHBERT RD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2140
Practice Address - Country:US
Practice Address - Phone:347-454-9082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency