Provider Demographics
NPI:1730070756
Name:CRUZ GARCIA, JOANNE DE LA CARIDAD (PHD)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:DE LA CARIDAD
Last Name:CRUZ GARCIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 W 10TH ST APT 14
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4091
Mailing Address - Country:US
Mailing Address - Phone:305-721-9868
Mailing Address - Fax:
Practice Address - Street 1:90 W 10TH ST APT 14
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4091
Practice Address - Country:US
Practice Address - Phone:305-721-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-47708103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst