Provider Demographics
NPI:1093369464
Name:CUZ, ANDREA PAOLA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PAOLA
Last Name:CUZ
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 1:91 PROVIDENCE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1061
Mailing Address - Country:US
Mailing Address - Phone:401-301-1630
Mailing Address - Fax:
Practice Address - Street 1:91 PROVIDENCE ST APT 3
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1061
Practice Address - Country:US
Practice Address - Phone:401-301-1630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter