Provider Demographics
NPI:1891512885
Name:CRUZ, ADALYRIS RAMOS
Entity type:Individual
Prefix:
First Name:ADALYRIS
Middle Name:RAMOS
Last Name: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 1:8610 HIDDEN RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-1152
Mailing Address - Country:US
Mailing Address - Phone:813-841-9662
Mailing Address - Fax:813-704-2600
Practice Address - Street 1:8610 HIDDEN RIVER PKWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-1152
Practice Address - Country:US
Practice Address - Phone:813-841-9662
Practice Address - Fax:813-704-2600
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician