Provider Demographics
NPI:1144436817
Name:CRUZ, EURIDICE DEL C (PSYD)
Entity type:Individual
Prefix:MISS
First Name:EURIDICE
Middle Name:DEL C
Last Name:CRUZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:EURIDICE
Other - Middle Name:DEL C
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-0444
Mailing Address - Country:US
Mailing Address - Phone:939-475-9263
Mailing Address - Fax:787-283-1972
Practice Address - Street 1:CALLE DOMINGO MARRERO NAVARRO. URBANIZACION SANTA RITA
Practice Address - Street 2:EDIF #5 SUITE # 3
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3277
Practice Address - Country:US
Practice Address - Phone:939-475-9263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical