Provider Demographics
NPI:1457034050
Name:ALVARADO-CRUZ, DAYNA MARIE
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:MARIE
Last Name:ALVARADO-CRUZ
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 1:637 MANOR ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1823
Mailing Address - Country:US
Mailing Address - Phone:717-621-7545
Mailing Address - Fax:
Practice Address - Street 1:203 W CARACAS AVE # 203
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1567
Practice Address - Country:US
Practice Address - Phone:717-832-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist