Provider Demographics
NPI:1053282095
Name:CRUZ-MARIN, JOSMARIE
Entity type:Individual
Prefix:
First Name:JOSMARIE
Middle Name:
Last Name:CRUZ-MARIN
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 1:3440 W HILLSBORO BLVD
Mailing Address - Street 2:APT 204
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2126
Mailing Address - Country:US
Mailing Address - Phone:787-208-1326
Mailing Address - Fax:
Practice Address - Street 1:3440 W HILLSBORO BLVD
Practice Address - Street 2:APT 204
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2126
Practice Address - Country:US
Practice Address - Phone:787-208-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9534473163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn