Provider Demographics
NPI:1245113943
Name:CRUZ, YADIRA DALIA
Entity type:Individual
Prefix:MS
First Name:YADIRA
Middle Name:DALIA
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 1:24A DOYLE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-5023
Mailing Address - Country:US
Mailing Address - Phone:978-885-2723
Mailing Address - Fax:
Practice Address - Street 1:45 GEORGIAN RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-2110
Practice Address - Country:US
Practice Address - Phone:978-885-2723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty