Provider Demographics
NPI:1831514041
Name:DEL VALLE CRUZ, MARGARITA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:
Last Name:DEL VALLE CRUZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-5913
Mailing Address - Country:US
Mailing Address - Phone:216-404-5108
Mailing Address - Fax:216-404-5492
Practice Address - Street 1:3145 W 46TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-5913
Practice Address - Country:US
Practice Address - Phone:216-404-5108
Practice Address - Fax:216-404-5492
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN229606163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool