Provider Demographics
NPI:1316818776
Name:ALVAREZ DE LA CRUZ, MAIYULI (RDH)
Entity type:Individual
Prefix:
First Name:MAIYULI
Middle Name:
Last Name:ALVAREZ DE LA CRUZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9615
Mailing Address - Country:US
Mailing Address - Phone:407-684-1658
Mailing Address - Fax:
Practice Address - Street 1:7621 SW HIGHWAY 200 UNIT 103
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-7201
Practice Address - Country:US
Practice Address - Phone:352-401-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33358124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist