1023557733 NPI number — NORMA MERCADO CRUZ CAC IV #73881

Table of content: MS. ANNA JULIA SCHRYER LCSW 101320 (NPI 1922432558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023557733 NPI number — NORMA MERCADO CRUZ CAC IV #73881

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CRUZ
Provider First Name:
NORMA
Provider Middle Name:
MERCADO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CAC IV #73881
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023557733
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/21/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 2 BOX 12239
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN GERMAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00683-9519
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-560-1589
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
168 AVE PERO ALBIZU CAMPOS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-5725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-997-2050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  13685 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 73881 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)