Liza M Gonzalez Cruz

Individual provider Active NPI Clinical Social Worker · Caguas, PR

NPI 1124540943 · NPPES record last updated Jul 13, 2017

Key facts

NPI
1124540943
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
13503 (PR)
Practice address
Urb Turabo Gardens Calle 3 R15 RR
Caguas, PR 00727
Phone
(787) 460-3948
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13503PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13503 PR Yes

Addresses

Primary practice location

Urb Turabo Gardens Calle 3 R15 RR
Caguas, PR 00727

Mailing address

HC 12 Box 12902
Humacao, PR 00791-9647
Phone (787) 460-3948

Other providers in Caguas, PR

All providers in Caguas, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.