Provider Demographics
NPI:1265298673
Name:CRUZ BAREA, SAYDI
Entity type:Individual
Prefix:
First Name:SAYDI
Middle Name:
Last Name:CRUZ BAREA
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 1:12388 NW 11TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2406
Mailing Address - Country:US
Mailing Address - Phone:305-218-6923
Mailing Address - Fax:
Practice Address - Street 1:12388 NW 11TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2406
Practice Address - Country:US
Practice Address - Phone:305-218-6923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-3111601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical