Basic Information
| Provider Information | |||||||||
| NPI: | 1922426063 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRUZ-ALVAREZ | ||||||||
| FirstName: | BEATRIZ | ||||||||
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| Mailing Information | |||||||||
| Address1: | 169 CALLE LARIMAR | ||||||||
| Address2: | URB COSTA BRAVA | ||||||||
| City: | ISABELA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006626311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874643714 | ||||||||
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| Practice Location | |||||||||
| Address1: | 317 E 17TH ST FL 9 | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124202390 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2014 | ||||||||
| LastUpdateDate: | 05/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0800X | 0101274312 | VA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.