Provider Demographics
NPI:1932374345
Name:CRUZ, ALICIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 CALLE VOLGA
Mailing Address - Street 2:EL CEREZAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3037
Mailing Address - Country:US
Mailing Address - Phone:787-448-3481
Mailing Address - Fax:
Practice Address - Street 1:1663 CALLE VOLGA
Practice Address - Street 2:EL CEREZAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3037
Practice Address - Country:US
Practice Address - Phone:787-448-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2860104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker