Provider Demographics
NPI:1528568755
Name:ROBLES CRUZ, ALEXANDRA (MSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ROBLES 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 1:3671 DERBYSHIRE RD
Mailing Address - Street 2:APT 211
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707
Mailing Address - Country:US
Mailing Address - Phone:407-988-6964
Mailing Address - Fax:
Practice Address - Street 1:3671 DERBYSHIRE RD
Practice Address - Street 2:APT 211
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:407-988-6964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2024-12-10
Deactivation Date:2024-11-22
Deactivation Code:
Reactivation Date:2024-12-10
Provider Licenses
StateLicense IDTaxonomies
FLISW21288390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program