Provider Demographics
NPI:1841915071
Name:CRUZ, ANA CRISTINA (DC)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:CRISTINA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 WINDMEADOWS BLVD APT Q158
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-0410
Mailing Address - Country:US
Mailing Address - Phone:939-332-6360
Mailing Address - Fax:
Practice Address - Street 1:3990 E SR 44
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-7482
Practice Address - Country:US
Practice Address - Phone:352-775-4221
Practice Address - Fax:352-661-3526
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor