Provider Demographics
NPI:1083590251
Name:CRUZ ROBLES GONZALEZ, YANET
Entity type:Individual
Prefix:
First Name:YANET
Middle Name:
Last Name:CRUZ ROBLES GONZALEZ
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 1:1415 MCDOUGALL AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1733
Mailing Address - Country:US
Mailing Address - Phone:507-215-6213
Mailing Address - Fax:
Practice Address - Street 1:1415 MCDOUGALL AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1733
Practice Address - Country:US
Practice Address - Phone:507-215-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter