Provider Demographics
NPI:1134969140
Name:CRUZ TORRES, MARTA I (PSYD)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:I
Last Name:CRUZ TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-0327
Mailing Address - Country:US
Mailing Address - Phone:787-366-2460
Mailing Address - Fax:
Practice Address - Street 1:AVE MUNOZ RIVERA 53 ESTE
Practice Address - Street 2:SUITE 4
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-366-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7892103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical