Provider Demographics
NPI:1316713340
Name:CRUZ LOPEZ, VICTORIA N (MSW)
Entity type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:N
Last Name:CRUZ LOPEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:N
Other - Last Name:CRUZ LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:URB LA ESTANCIA , CALLE TAMARINDO
Mailing Address - Street 2:#61
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-347-3448
Mailing Address - Fax:
Practice Address - Street 1:URB LA ESTANCIA , CALLE TAMARINDO #61
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-347-3448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14981104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker