Provider Demographics
NPI:1861202004
Name:CRUZ, SHAQUIRA ROSALES (BS, HIS)
Entity type:Individual
Prefix:
First Name:SHAQUIRA
Middle Name:ROSALES
Last Name:CRUZ
Suffix:
Gender:F
Credentials:BS, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 CALVERT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3834
Mailing Address - Country:US
Mailing Address - Phone:813-777-4271
Mailing Address - Fax:
Practice Address - Street 1:4050 WASHINGTON RD STE 3B
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2543
Practice Address - Country:US
Practice Address - Phone:724-941-0958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03945237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist