Provider Demographics
NPI:1952170375
Name:CRUZADO GARCIA, SHEIDELYZ
Entity Type:Individual
Prefix:
First Name:SHEIDELYZ
Middle Name:
Last Name:CRUZADO GARCIA
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:URB. EL ROSARIO E4 CALLE B
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5709
Mailing Address - Country:US
Mailing Address - Phone:915-777-4005
Mailing Address - Fax:
Practice Address - Street 1:275 7TH AVE FL 26
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6857
Practice Address - Country:US
Practice Address - Phone:915-777-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program